Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $25.29 / $34.84	Professional		$23.95	$25.29	$34.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $21.28 / $29.26	Professional	26	$20.14	$21.28	$29.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $4.25 / $5.58	Professional	TC	$3.80	$4.25	$5.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $47.00 / $64.23	Professional		$21.80	$47.00	$64.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $39.38 / $53.82	Professional	26	$18.27	$39.38	$53.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.54 / $7.02 / $10.42	Professional	TC	$3.54	$7.02	$10.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $45.57 / $313.77	Professional		$22.08	$45.57	$313.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $37.39 / $156.85	Professional	26	$18.39	$37.39	$156.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $6.67 / $220.13	Professional	TC	$3.37	$6.67	$220.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $53.85 / $97.34	Professional		$32.88	$53.85	$97.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $36.54 / $72.67	Professional		$29.47	$36.54	$72.67
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $29.90 / $40.11	Professional	26	$24.23	$29.90	$40.11
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $2.31 / $6.13 / $48.44	Professional	TC	$2.31	$6.13	$48.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $29.63 / $49.94	Professional		$20.99	$29.63	$49.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $25.80 / $45.00	Professional	26	$17.54	$25.80	$45.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $5.19 / $8.61	Professional	TC	$3.37	$5.19	$8.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $42.60 / $44.30	Professional		$33.90	$42.60	$44.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $35.20 / $36.60	Professional	26	$28.00	$35.20	$36.60
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $5.90 / $7.40 / $7.70	Professional	TC	$5.90	$7.40	$7.70