Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $70.20	Professional		$70.20	$70.20	$70.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.57 / $225.00	Professional	26	$46.77	$60.57	$225.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $158.96 / $240.78	Professional		$119.41	$158.96	$240.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.01 / $105.61 / $157.30	Professional	26	$78.01	$105.61	$157.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.40 / $54.74 / $83.48	Professional	TC	$41.40	$54.74	$83.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $157.72 / $587.10	Professional		$54.80	$157.72	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.92 / $118.33 / $381.48	Professional	26	$38.92	$118.33	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $36.01 / $205.55	Professional	TC	$15.88	$36.01	$205.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $161.41 / $161.41 / $161.41	Facility	26	$161.41	$161.41	$161.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $158.96 / $207.07	Professional		$144.00	$158.96	$207.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $154.90 / $176.96	Professional		$118.84	$154.90	$176.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $73.58 / $101.56 / $115.80	Professional	26	$73.58	$101.56	$115.80
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $56.54 / $71.94	Professional	TC	$45.25	$56.54	$71.94
United Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $54.80 / $189.20	Professional		$54.73	$54.80	$189.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $38.92 / $131.47	Professional	26	$35.54	$38.92	$131.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $19.18 / $57.72	Professional	TC	$15.88	$19.18	$57.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $199.30 / $214.30	Professional		$154.90	$199.30	$214.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $101.60 / $130.69 / $140.50	Professional	26	$101.60	$130.69	$140.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $53.30 / $68.59 / $73.80	Professional	TC	$53.30	$68.59	$73.80