Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $33.11	Professional		$21.88	$25.70	$33.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $25.70	Professional	26	$18.20	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $5.01	Professional	TC	$3.02	$3.98	$5.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $60.26	Professional		$21.88	$41.69	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $35.48 / $50.12	Professional	26	$18.20	$35.48	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $6.76 / $9.77	Professional	TC	$3.55	$6.76	$9.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $316.23	Professional		$23.44	$43.65	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.88 / $158.49	Professional	26	$18.20	$33.88	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $6.17 / $218.78	Professional	TC	$3.39	$6.17	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $53.70	Professional		$48.98	$53.70	$53.70
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $47.86 / $47.86	Professional	26	$41.69	$47.86	$47.86
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $6.31 / $6.92	Professional	TC	$6.31	$6.31	$6.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $72.44	Professional		$28.84	$40.74	$72.44
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $39.81	Professional	26	$23.99	$30.90	$39.81
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $6.17 / $48.98	Professional	TC	$3.80	$6.17	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $52.48	Professional		$21.88	$30.90	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $44.67	Professional	26	$17.78	$23.99	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $5.01 / $8.71	Professional	TC	$3.63	$5.01	$8.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $44.67	Professional		$33.88	$42.66	$44.67
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $36.31	Professional	26	$28.18	$35.48	$36.31
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $7.41 / $7.76	Professional	TC	$5.89	$7.41	$7.76