Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $331.20 / $365.40	Professional		$84.92	$331.20	$365.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $213.30 / $227.84	Professional	26	$66.09	$213.30	$227.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $18.82 / $18.82	Professional	TC	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $206.50 / $307.56	Professional		$152.53	$206.50	$307.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $150.21 / $227.60	Professional	26	$98.00	$150.21	$227.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $52.40 / $79.97	Professional	TC	$39.65	$52.40	$79.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $211.77 / $745.14	Professional		$70.18	$211.77	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.29 / $134.81 / $538.00	Professional	26	$54.29	$134.81	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $73.89 / $340.13	Professional	TC	$15.89	$73.89	$340.13
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $217.63 / $217.63 / $217.63	Facility	26	$217.63	$217.63	$217.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $206.55 / $250.28	Professional		$184.00	$206.55	$250.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $213.88 / $247.17	Professional		$167.84	$213.88	$247.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $106.94 / $141.87 / $166.90	Professional	26	$106.94	$141.87	$166.90
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.41 / $58.22 / $102.12	Professional	TC	$43.41	$58.22	$102.12
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $70.18 / $262.12	Professional		$68.90	$70.18	$262.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $54.29 / $180.02	Professional	26	$51.13	$54.29	$180.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $17.77 / $82.10	Professional	TC	$15.89	$17.77	$82.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $197.40 / $254.10 / $273.20	Professional		$197.40	$254.10	$273.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $146.40 / $188.40 / $202.50	Professional	26	$146.40	$188.40	$202.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $51.10 / $65.70 / $70.70	Professional	TC	$51.10	$65.70	$70.70