Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.74 / $8.74 / $8.74	Facility	26	$8.74	$8.74	$8.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.29 / $126.34	Professional		$27.05	$36.29	$126.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $8.75 / $32.93	Professional	26	$7.78	$8.75	$32.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $28.33 / $106.80	Professional	TC	$19.10	$28.33	$106.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $56.53 / $70.66	Professional		$45.88	$56.53	$70.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $16.05 / $20.05	Professional	26	$12.10	$16.05	$20.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $40.47 / $50.60	Professional	TC	$32.85	$40.47	$50.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $63.60 / $400.00	Professional		$34.61	$63.60	$400.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $15.05 / $132.09	Professional	26	$8.40	$15.05	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $48.55 / $135.32	Professional	TC	$27.06	$48.55	$135.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $66.73 / $72.18	Professional		$41.38	$66.73	$72.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $45.09 / $59.18	Professional		$32.81	$45.09	$59.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $13.20 / $15.53	Professional	26	$9.52	$13.20	$15.53
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $32.90 / $45.26	Professional	TC	$22.21	$32.90	$45.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $54.60 / $75.20	Professional		$32.47	$54.60	$75.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $14.28 / $17.70	Professional	26	$8.23	$14.28	$17.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $40.77 / $57.56	Professional	TC	$23.32	$40.77	$57.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $60.80 / $63.30	Professional		$51.70	$60.80	$63.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $17.80 / $18.50	Professional	26	$15.10	$17.80	$18.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $36.60 / $43.00 / $44.70	Professional	TC	$36.60	$43.00	$44.70