Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.61 / $7.61 / $7.61	Facility	26	$7.61	$7.61	$7.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $32.90 / $61.87	Professional		$25.50	$32.90	$61.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.33 / $44.10	Professional	26	$6.64	$7.33	$44.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.51 / $34.14 / $64.97	Professional	TC	$18.51	$34.14	$64.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $52.16 / $64.56	Professional		$42.33	$52.16	$64.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $14.16 / $17.45	Professional	26	$11.33	$14.16	$17.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $38.06 / $47.11	Professional	TC	$30.89	$38.06	$47.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $51.08 / $644.00	Professional		$30.16	$51.08	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $14.64 / $228.88	Professional	26	$8.05	$14.64	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $40.20 / $542.00	Professional	TC	$22.11	$40.20	$542.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $56.85 / $71.04	Professional		$39.89	$56.85	$71.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $41.99 / $47.87	Professional		$32.65	$41.99	$47.87
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $11.92 / $13.58	Professional	26	$8.80	$11.92	$13.58
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $30.07 / $34.29	Professional	TC	$23.78	$30.07	$34.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $47.91 / $56.36	Professional		$30.16	$47.91	$56.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $13.23 / $15.44	Professional	26	$8.05	$13.23	$15.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $35.08 / $41.69	Professional	TC	$22.11	$35.08	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $58.10 / $60.40	Professional		$49.40	$58.10	$60.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $16.50 / $17.10	Professional	26	$14.00	$16.50	$17.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $35.40 / $41.60 / $43.30	Professional	TC	$35.40	$41.60	$43.30