Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.72 / $247.72 / $247.72	Professional		$247.72	$247.72	$247.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $33.21 / $33.21	Professional	26	$33.21	$33.21	$33.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.50 / $214.50 / $214.50	Professional	TC	$214.50	$214.50	$214.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $491.47 / $732.00	Professional		$363.02	$491.47	$732.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $71.39 / $106.33	Professional	26	$52.73	$71.39	$106.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $310.29 / $420.08 / $625.66	Professional	TC	$310.29	$420.08	$625.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $368.49 / $2,077.04	Professional		$208.69	$368.49	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.59 / $82.55 / $267.88	Professional	26	$27.59	$82.55	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.10 / $281.01 / $1,809.15	Professional	TC	$181.10	$281.01	$1,809.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $151.50 / $151.50 / $151.50	Facility	26	$151.50	$151.50	$151.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $475.69 / $538.17 / $642.38	Professional		$475.69	$538.17	$642.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $449.27 / $573.04	Professional		$306.33	$449.27	$573.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $72.06 / $78.59	Professional	26	$54.06	$72.06	$78.59
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $255.11 / $382.73 / $494.44	Professional	TC	$255.11	$382.73	$494.44
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $208.69 / $685.60	Professional		$172.36	$208.69	$685.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $27.59 / $91.72	Professional	26	$24.37	$27.59	$91.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.99 / $181.10 / $662.26	Professional	TC	$147.99	$181.10	$662.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.50 / $596.50 / $641.29	Professional		$463.50	$596.50	$641.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $68.70 / $88.30 / $95.00	Professional	26	$68.70	$88.30	$95.00
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $394.90 / $508.10 / $546.40	Professional	TC	$394.90	$508.10	$546.40