Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.37 / $3.37 / $3.37	Facility	26	$3.37	$3.37	$3.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $37.20 / $234.90	Professional		$23.30	$37.20	$234.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $3.79 / $54.29	Professional	26	$2.93	$3.79	$54.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.00 / $12.00 / $94.34	Professional	52	$12.00	$12.00	$94.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $43.12 / $161.09	Professional	TC	$20.67	$43.12	$161.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $48.16 / $60.19	Professional		$40.24	$48.16	$60.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $6.34 / $7.85	Professional	26	$5.09	$6.34	$7.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $41.87 / $52.34	Professional	TC	$34.32	$41.87	$52.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $51.68 / $724.06	Professional		$28.42	$51.68	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $6.46 / $289.41	Professional	26	$3.88	$6.46	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $45.22 / $660.75	Professional	TC	$26.22	$45.22	$660.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $47.93 / $74.98	Professional		$37.24	$47.93	$74.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $41.34 / $44.37	Professional		$30.56	$41.34	$44.37
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $5.11 / $5.90	Professional	26	$3.88	$5.11	$5.90
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $36.18 / $38.67	Professional	TC	$26.80	$36.18	$38.67
United Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $45.47 / $53.05	Professional		$28.42	$45.47	$53.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $5.80 / $6.83	Professional	26	$3.55	$5.80	$6.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $39.61 / $46.22	Professional	TC	$24.87	$39.61	$46.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $53.40 / $55.50	Professional		$45.40	$53.40	$55.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $6.00 / $7.10 / $7.30	Professional	26	$6.00	$7.10	$7.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $39.40 / $46.30 / $48.20	Professional	TC	$39.40	$46.30	$48.20