Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $29.06 / $40.11	Professional		$27.59	$29.06	$40.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $24.82 / $34.53	Professional	26	$23.78	$24.82	$34.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.80 / $14.53 / $20.05	Professional	52	$13.80	$14.53	$20.05
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 $25.04 / $53.99 / $73.78	Professional		$25.04	$53.99	$73.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $47.00 / $64.23	Professional	26	$21.80	$47.00	$64.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $6.58 / $9.55	Professional	TC	$3.24	$6.58	$9.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $53.30 / $303.81	Professional		$25.77	$53.30	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $44.95 / $156.38	Professional	26	$22.08	$44.95	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $2.65 / $5.70 / $211.93	Professional	TC	$2.65	$5.70	$211.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $61.09 / $96.30	Professional		$33.40	$61.09	$96.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $42.93 / $75.41	Professional		$33.79	$42.93	$75.41
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.74 / $30.93 / $47.87	Professional	26	$24.74	$30.93	$47.87
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $2.31 / $5.79 / $55.76	Professional	TC	$2.31	$5.79	$55.76
United Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $34.36 / $57.26	Professional		$23.76	$34.36	$57.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $39.95 / $54.10	Professional	26	$21.30	$39.95	$54.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.91 / $4.76 / $8.35	Professional	TC	$2.91	$4.76	$8.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $48.80 / $50.70	Professional		$38.79	$48.80	$50.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $42.00 / $43.70	Professional	26	$33.40	$42.00	$43.70
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $5.40 / $6.80 / $7.10	Professional	TC	$5.40	$6.80	$7.10