Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $116.05 / $346.50	Professional		$103.57	$116.05	$346.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $77.41 / $108.11	Professional	26	$74.40	$77.41	$108.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $31.67 / $42.25	Professional	TC	$29.17	$31.67	$42.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $198.41 / $274.29	Professional		$93.10	$198.41	$274.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $144.81 / $197.90	Professional	26	$67.17	$144.81	$197.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $52.06 / $76.38	Professional	TC	$25.93	$52.06	$76.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $189.48 / $702.18	Professional		$93.25	$189.48	$702.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $128.03 / $487.97	Professional	26	$69.33	$128.03	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $39.09 / $214.27	Professional	TC	$22.40	$39.09	$214.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.44 / $203.37 / $252.15	Professional		$122.44	$203.37	$252.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $151.44 / $205.38	Professional		$123.14	$151.44	$205.38
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $89.94 / $109.48 / $146.85	Professional	26	$89.94	$109.48	$146.85
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $39.36 / $60.22	Professional	TC	$27.36	$39.36	$60.22
United Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $122.90 / $213.04	Professional		$87.06	$122.90	$213.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $94.45 / $160.04	Professional	26	$68.01	$94.45	$160.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $35.60 / $58.63	Professional	TC	$22.40	$35.60	$58.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $178.20 / $185.30	Professional		$141.80	$178.20	$185.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $128.80 / $133.90	Professional	26	$102.50	$128.80	$133.90
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $39.29 / $49.40 / $51.30	Professional	TC	$39.29	$49.40	$51.30