Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $22.73 / $22.73	Facility	26	$22.73	$22.73	$22.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $32.84 / $60.07	Professional		$29.85	$32.84	$60.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $20.49 / $28.73	Professional	26	$19.55	$20.49	$28.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $11.34 / $37.35	Professional	TC	$10.31	$11.34	$37.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $108.87 / $136.09	Professional		$88.36	$108.87	$136.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $42.12 / $52.34	Professional	26	$33.97	$42.12	$52.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.37 / $67.00 / $83.75	Professional	TC	$54.37	$67.00	$83.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $65.70 / $355.02	Professional		$35.42	$65.70	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $39.46 / $132.09	Professional	26	$21.82	$39.46	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.36 / $22.08 / $222.93	Professional	TC	$11.36	$22.08	$222.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $68.81 / $118.89	Professional		$37.29	$68.81	$118.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $72.89 / $100.92	Professional		$50.48	$72.89	$100.92
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $33.54 / $39.46	Professional	26	$24.17	$33.54	$39.46
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $44.93 / $61.46	Professional	TC	$15.67	$44.93	$61.46
United Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $76.75 / $102.28	Professional		$37.54	$76.75	$102.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $39.13 / $46.03	Professional	26	$21.26	$39.13	$46.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.94 / $42.10 / $60.14	Professional	TC	$11.94	$42.10	$60.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $108.30 / $127.40	Professional		$104.10	$108.30	$127.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $42.30 / $49.80	Professional	26	$40.70	$42.30	$49.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $63.40 / $65.90 / $77.59	Professional	TC	$63.40	$65.90	$77.59