Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.39 / $23.39 / $23.39	Facility	26	$23.39	$23.39	$23.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $122.03 / $134.22	Professional		$39.69	$122.03	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $33.46 / $36.81	Professional	26	$21.39	$33.46	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $88.56 / $97.42	Professional	TC	$18.30	$88.56	$97.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $80.95 / $101.20	Professional		$65.70	$80.95	$101.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $43.97 / $54.96	Professional	26	$35.68	$43.97	$54.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $36.99 / $46.24	Professional	TC	$30.02	$36.99	$46.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $70.63 / $764.92	Professional		$46.42	$70.63	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $35.83 / $382.94	Professional	26	$26.87	$35.83	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $27.69 / $585.86	Professional	TC	$19.55	$27.69	$585.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $77.38 / $160.00	Professional		$73.79	$77.38	$160.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $63.79 / $83.35	Professional		$46.94	$63.79	$83.35
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.04 / $36.18 / $41.14	Professional	26	$27.04	$36.18	$41.14
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $29.14 / $34.29	Professional	TC	$19.30	$29.14	$34.29
United Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $49.05 / $81.23	Professional		$48.69	$49.05	$81.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $28.14 / $47.02	Professional	26	$26.21	$28.14	$47.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $22.48 / $34.21	Professional	TC	$20.91	$22.48	$34.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $84.10 / $87.50	Professional		$71.50	$84.10	$87.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $45.70 / $47.50	Professional	26	$38.79	$45.70	$47.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $32.70 / $38.40 / $40.00	Professional	TC	$32.70	$38.40	$40.00