Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $77.62	Professional		$39.81	$51.29	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $12.02	Professional	26	$6.03	$7.94	$12.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $42.66 / $66.07	Professional	TC	$33.11	$42.66	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $9.77 / $14.13	Facility	26	$2.14	$9.77	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $134.90	Professional		$47.86	$93.33	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $14.79 / $20.42	Professional	26	$7.41	$14.79	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $79.43 / $112.20	Professional	TC	$40.74	$79.43	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $346.74	Professional		$45.71	$67.61	$346.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $165.96	Professional	26	$7.94	$11.48	$165.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $56.23 / $288.40	Professional	TC	$38.02	$56.23	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $17.78 / $20.42	Professional	26	$17.78	$17.78	$20.42
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $102.33	Professional	TC	$83.18	$83.18	$102.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $104.71	Professional		$53.70	$72.44	$104.71
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $16.98	Professional	26	$10.00	$12.59	$16.98
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $57.54 / $89.13	Professional	TC	$43.65	$57.54	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $104.71	Professional		$43.65	$58.88	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.77 / $17.38	Professional	26	$6.92	$9.77	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $87.10	Professional	TC	$37.15	$47.86	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Professional		$100.00	$100.00	$123.03
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $19.50	Professional	26	$15.85	$15.85	$19.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $85.11 / $102.33	Professional	TC	$85.11	$85.11	$102.33