Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $47.92 / $65.65	Professional		$35.52	$47.92	$65.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $20.70 / $29.81	Professional	26	$16.14	$20.70	$29.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.89 / $27.22 / $35.84	Professional	TC	$23.89	$27.22	$35.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $89.27 / $122.39	Professional		$41.54	$89.27	$122.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $39.15 / $52.95	Professional	26	$17.97	$39.15	$52.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $50.44 / $69.44	Professional	TC	$23.57	$50.44	$69.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $59.88 / $339.23	Professional		$41.42	$59.88	$339.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $27.24 / $128.44	Professional	26	$18.73	$27.24	$128.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.69 / $32.64 / $221.35	Professional	TC	$22.69	$32.64	$221.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $91.95 / $107.72	Professional		$56.99	$91.95	$107.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $72.41 / $91.83	Professional		$55.11	$72.41	$91.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $29.42 / $39.46	Professional	26	$24.17	$29.42	$39.46
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $42.93 / $54.38	Professional	TC	$30.92	$42.93	$54.38
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $53.83 / $71.70	Professional		$39.90	$53.83	$71.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $24.23 / $33.76	Professional	26	$17.67	$24.23	$33.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $32.64 / $49.39	Professional	TC	$22.40	$32.64	$49.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $86.30 / $89.70	Professional		$63.20	$86.30	$89.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $37.60 / $39.10	Professional	26	$27.50	$37.60	$39.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $35.70 / $48.70 / $50.60	Professional	TC	$35.70	$48.70	$50.60