Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.61 / $19.61 / $19.61	Facility	26	$19.61	$19.61	$19.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $41.57 / $69.12	Professional		$37.79	$41.57	$69.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $21.35 / $29.87	Professional	26	$17.62	$21.35	$29.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $18.07 / $36.21	Professional	TC	$16.44	$18.07	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $100.50 / $125.62	Professional		$81.56	$100.50	$125.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.52 / $36.11 / $44.49	Professional	26	$30.52	$36.11	$44.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.68 / $64.90 / $81.13	Professional	TC	$52.68	$64.90	$81.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $76.30 / $351.65	Professional		$40.34	$76.30	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $37.09 / $131.37	Professional	26	$21.82	$37.09	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $31.19 / $214.27	Professional	TC	$17.82	$31.19	$214.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $72.69 / $109.51	Professional		$43.40	$72.69	$109.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $68.08 / $93.15	Professional		$50.49	$68.08	$93.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $28.59 / $34.81	Professional	26	$20.63	$28.59	$34.81
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $43.09 / $59.51	Professional	TC	$23.78	$43.09	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $73.34 / $97.20	Professional		$38.88	$73.34	$97.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $33.74 / $45.82	Professional	26	$18.55	$33.74	$45.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $40.33 / $62.58	Professional	TC	$19.38	$40.33	$62.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $99.90 / $117.60	Professional		$96.10	$99.90	$117.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $34.70 / $36.10 / $42.50	Professional	26	$34.70	$36.10	$42.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $63.80 / $75.09	Professional	TC	$61.40	$63.80	$75.09