Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $299.13 / $299.13	Professional		$299.13	$299.13	$299.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.81 / $48.81 / $171.77	Professional	26	$48.81	$48.81	$171.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.32 / $250.32 / $927.38	Professional	TC	$250.32	$250.32	$927.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $677.14 / $1,041.32	Professional		$516.41	$677.14	$1,041.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $110.33 / $164.33	Professional	26	$81.48	$110.33	$164.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $434.93 / $568.26 / $876.99	Professional	TC	$434.93	$568.26	$876.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $389.08 / $2,575.76	Professional		$246.52	$389.08	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $119.38 / $393.91	Professional	26	$40.22	$119.38	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.30 / $274.41 / $2,181.85	Professional	TC	$206.30	$274.41	$2,181.85
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $220.05 / $220.05 / $220.05	Facility	26	$220.05	$220.05	$220.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $664.01 / $677.14 / $797.12	Professional		$664.01	$677.14	$797.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $342.06 / $639.53 / $752.34	Professional		$342.06	$639.53	$752.34
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $78.52 / $106.10 / $120.97	Professional	26	$78.52	$106.10	$120.97
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $237.38 / $536.70 / $631.37	Professional	TC	$237.38	$536.70	$631.37
United Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $246.52 / $818.68	Professional		$236.87	$246.52	$818.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $40.22 / $132.63	Professional	26	$36.95	$40.22	$132.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.92 / $206.30 / $686.04	Professional	TC	$199.92	$206.30	$686.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $659.90 / $849.00 / $913.00	Professional		$659.90	$849.00	$913.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $136.50 / $146.80	Professional	26	$106.10	$136.50	$146.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $553.79 / $712.50 / $766.20	Professional	TC	$553.79	$712.50	$766.20