Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.60 / $27.60 / $27.60	Facility	26	$27.60	$27.60	$27.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $48.17 / $72.12	Professional		$43.79	$48.17	$72.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.95 / $25.92 / $48.89	Professional	26	$24.95	$25.92	$48.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $22.28 / $58.84	Professional	TC	$17.87	$22.28	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $123.53 / $154.41	Professional		$100.25	$123.53	$154.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $52.39 / $64.56	Professional	26	$43.65	$52.39	$64.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.34 / $71.88 / $89.85	Professional	TC	$58.34	$71.88	$89.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $88.33 / $398.18	Professional		$46.63	$88.33	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $47.90 / $160.04	Professional	26	$26.12	$47.90	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $33.47 / $238.14	Professional	TC	$19.13	$33.47	$238.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $93.21 / $133.29	Professional		$49.89	$93.21	$133.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $83.16 / $113.85	Professional		$61.67	$83.16	$113.85
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $40.69 / $47.87	Professional	26	$29.32	$40.69	$47.87
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $48.13 / $65.98	Professional	TC	$25.74	$48.13	$65.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $88.33 / $118.64	Professional		$46.63	$88.33	$118.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $47.50 / $55.88	Professional	26	$23.01	$47.50	$55.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $45.05 / $69.90	Professional	TC	$17.53	$45.05	$69.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $122.10 / $143.69	Professional		$117.40	$122.10	$143.69
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $49.40 / $51.40 / $60.40	Professional	26	$49.40	$51.40	$60.40
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $68.09 / $70.80 / $83.30	Professional	TC	$68.09	$70.80	$83.30