Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Professional		$52.58	$52.58	$52.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $19.80 / $19.80	Professional	26	$19.80	$19.80	$19.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.77 / $32.77 / $32.77	Professional	TC	$32.77	$32.77	$32.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $117.41 / $174.87	Professional		$86.72	$117.41	$174.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.81 / $43.07 / $64.15	Professional	26	$31.81	$43.07	$64.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.91 / $74.34 / $110.72	Professional	TC	$54.91	$74.34	$110.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $109.84 / $438.19	Professional		$44.90	$109.84	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $40.76 / $158.25	Professional	26	$16.54	$40.76	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $69.08 / $279.94	Professional	TC	$28.36	$69.08	$279.94
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $70.97 / $70.97 / $70.97	Facility	26	$70.97	$70.97	$70.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $128.40 / $135.97	Professional		$114.70	$128.40	$135.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $108.33 / $129.32	Professional		$72.52	$108.33	$129.32
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $40.14 / $47.22	Professional	26	$25.32	$40.14	$47.22
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $47.20 / $68.19 / $83.04	Professional	TC	$47.20	$68.19	$83.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $44.90 / $143.66	Professional		$40.54	$44.90	$143.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $16.54 / $51.28	Professional	26	$14.58	$16.54	$51.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $28.36 / $102.64	Professional	TC	$25.96	$28.36	$102.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $143.80 / $154.60	Professional		$111.80	$143.80	$154.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.40 / $53.30 / $57.30	Professional	26	$41.40	$53.30	$57.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $70.40 / $90.50 / $97.30	Professional	TC	$70.40	$90.50	$97.30