Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.22 / $19.22 / $19.22	Facility	26	$19.22	$19.22	$19.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $64.03 / $120.77	Professional		$50.19	$64.03	$120.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $40.94 / $127.27	Professional	26	$17.62	$40.94	$127.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $50.21 / $88.20	Professional	TC	$37.35	$50.21	$88.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $105.73 / $130.86	Professional		$85.29	$105.73	$130.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $35.95 / $44.49	Professional	26	$28.89	$35.95	$44.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.62 / $69.09 / $86.37	Professional	TC	$56.62	$69.09	$86.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $102.45 / $604.11	Professional		$60.16	$102.45	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $36.88 / $456.30	Professional	26	$20.28	$36.88	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $72.50 / $388.70	Professional	TC	$39.88	$72.50	$388.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $107.23 / $140.52	Professional		$79.98	$107.23	$140.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $87.86 / $99.64	Professional		$65.53	$87.86	$99.64
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $29.50 / $33.64	Professional	26	$21.77	$29.50	$33.64
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $43.50 / $58.34 / $72.77	Professional	TC	$43.50	$58.34	$72.77
United Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $101.20 / $118.96	Professional		$65.43	$101.20	$118.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $33.36 / $38.93	Professional	26	$20.28	$33.36	$38.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $63.90 / $74.55	Professional	TC	$39.88	$63.90	$74.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $117.80 / $122.50	Professional		$100.10	$117.80	$122.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $34.70 / $40.79 / $42.50	Professional	26	$34.70	$40.79	$42.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $65.40 / $76.90 / $80.00	Professional	TC	$65.40	$76.90	$80.00