Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.37 / $11.37 / $11.37	Facility	26	$11.37	$11.37	$11.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $50.68 / $100.80	Professional		$30.41	$50.68	$100.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $13.91 / $36.90	Professional	26	$10.42	$13.91	$36.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $23.74 / $63.90	Professional	TC	$20.70	$23.74	$63.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $63.72 / $78.51	Professional		$51.10	$63.72	$78.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.29 / $21.24 / $26.17	Professional	26	$17.29	$21.24	$26.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $42.48 / $52.34	Professional	TC	$33.97	$42.48	$52.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $77.36 / $195.66	Professional		$42.55	$77.36	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $27.56 / $69.84	Professional	26	$16.54	$27.56	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $48.78 / $129.61	Professional	TC	$29.88	$48.78	$129.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $74.04 / $80.69	Professional		$56.57	$74.04	$80.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $55.93 / $59.58	Professional		$41.58	$55.93	$59.58
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $19.05 / $23.79	Professional	26	$14.21	$19.05	$23.79
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $34.81 / $38.81	Professional	TC	$25.74	$34.81	$38.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.83 / $78.62	Professional		$39.81	$66.83	$78.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $24.80 / $29.84	Professional	26	$14.14	$24.80	$29.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $48.78 / $49.80	Professional	TC	$27.39	$48.78	$49.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $67.50 / $70.20	Professional		$57.40	$67.50	$70.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.00 / $23.90	Professional	26	$19.50	$23.00	$23.90
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $44.50 / $46.30	Professional	TC	$37.79	$44.50	$46.30