Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $103.44 / $103.44	Professional		$103.44	$103.44	$103.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $27.31 / $96.12	Professional	26	$27.31	$27.31	$96.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.12 / $76.12 / $320.39	Professional	TC	$76.12	$76.12	$320.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $239.69 / $386.65	Professional		$140.00	$239.69	$386.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $61.36 / $98.00	Professional	26	$45.32	$61.36	$98.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $183.04 / $295.26	Professional	TC	$42.00	$183.04	$295.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $171.70 / $973.09	Professional		$76.31	$171.70	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $68.08 / $236.03	Professional	26	$22.39	$68.08	$236.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.05 / $76.97 / $750.23	Professional	TC	$46.05	$76.97	$750.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $109.95 / $109.95 / $109.95	Facility	26	$109.95	$109.95	$109.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $190.23 / $301.43	Professional		$139.00	$190.23	$301.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $179.28 / $280.11	Professional		$128.88	$179.28	$280.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $63.92 / $70.78	Professional	26	$50.16	$63.92	$70.78
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $118.27 / $212.83	Professional	TC	$77.70	$118.27	$212.83
United Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $89.87 / $171.70	Professional		$76.81	$89.87	$171.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $22.39 / $68.08	Professional	26	$20.77	$22.39	$68.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.42 / $69.09 / $245.18	Professional	TC	$54.42	$69.09	$245.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $316.10 / $339.90	Professional		$245.70	$316.10	$339.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $75.90 / $81.59	Professional	26	$59.00	$75.90	$81.59
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $186.70 / $240.20 / $258.30	Professional	TC	$186.70	$240.20	$258.30