Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.17 / $64.17 / $64.17	Facility	26	$64.17	$64.17	$64.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $179.30 / $279.91	Professional		$119.07	$179.30	$279.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.28 / $64.17 / $91.76	Professional	26	$59.28	$64.17	$91.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.79 / $119.93 / $182.08	Professional	TC	$59.79	$119.93	$182.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $247.41 / $306.20	Professional		$198.81	$247.41	$306.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.55 / $122.65 / $151.79	Professional	26	$98.55	$122.65	$151.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.25 / $124.76 / $154.41	Professional	TC	$100.25	$124.76	$154.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $240.30 / $1,060.27	Professional		$134.37	$240.30	$1,060.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $123.44 / $369.36	Professional	26	$67.90	$123.44	$369.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.47 / $120.86 / $707.89	Professional	TC	$66.47	$120.86	$707.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $246.30 / $302.20	Professional		$180.68	$246.30	$302.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $197.54 / $239.27	Professional		$145.02	$197.54	$239.27
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $73.27 / $98.40 / $113.85	Professional	26	$73.27	$98.40	$113.85
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $71.22 / $97.92 / $153.27	Professional	TC	$71.22	$97.92	$153.27
United Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $220.45 / $259.35	Professional		$134.37	$220.45	$259.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $110.71 / $130.24	Professional	26	$67.90	$110.71	$130.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $109.74 / $129.11	Professional	TC	$72.52	$109.74	$129.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $253.80 / $263.89	Professional		$215.70	$253.80	$263.89
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $108.50 / $127.60 / $132.69	Professional	26	$108.50	$127.60	$132.69
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $107.20 / $126.20 / $131.19	Professional	TC	$107.20	$126.20	$131.19