Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.07 / $24.61	Professional	26	$9.16	$10.07	$24.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $15.02 / $36.82	Professional	TC	$15.02	$15.02	$36.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $50.98 / $62.81	Professional	26	$41.19	$50.98	$62.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $76.52 / $95.09	Professional	TC	$62.36	$76.52	$95.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.40 / $149.40 / $149.40	Professional	26	$149.40	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $183.70 / $183.70	Professional	TC	$183.70	$183.70	$183.70
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $41.42 / $47.22	Professional	26	$30.60	$41.42	$47.22
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $60.71 / $69.22	Professional	TC	$45.27	$60.71	$69.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.44 / $36.45 / $48.60	Professional	26	$19.44	$36.45	$48.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $71.90 / $101.35	Professional	TC	$28.76	$71.90	$101.35
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $48.70 / $50.70 / $59.60	Professional	26	$48.70	$50.70	$59.60
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $71.40 / $74.30 / $87.40	Professional	TC	$71.40	$74.30	$87.40