Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.83 / $23.83 / $23.83	Facility	26	$23.83	$23.83	$23.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $34.34 / $55.39	Professional		$33.32	$34.34	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $21.86 / $59.40	Professional	26	$20.88	$21.86	$59.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $17.17 / $18.44	Professional	52	$15.85	$17.17	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $12.09 / $21.76	Professional	TC	$11.64	$12.09	$21.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $71.19 / $88.98	Professional		$52.39	$71.19	$88.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $44.67 / $55.83	Professional	26	$35.11	$44.67	$55.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $26.52 / $33.15	Professional	TC	$19.17	$26.52	$33.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $58.07 / $209.51	Professional		$34.15	$58.07	$209.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.89 / $40.39 / $138.46	Professional	26	$22.89	$40.39	$138.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.27 / $18.92 / $71.05	Professional	TC	$11.27	$18.92	$71.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $70.59 / $83.29	Professional		$65.68	$70.59	$83.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $56.64 / $66.63	Professional		$40.08	$56.64	$66.63
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $35.74 / $42.05	Professional	26	$23.43	$35.74	$42.05
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.86 / $20.90 / $24.58	Professional	TC	$11.86	$20.90	$24.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $58.07 / $71.73	Professional		$32.31	$58.07	$71.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.29 / $38.90 / $48.30	Professional	26	$22.29	$38.90	$48.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.26 / $18.92 / $28.17	Professional	TC	$11.26	$18.92	$28.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $76.40 / $79.50	Professional		$64.90	$76.40	$79.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $48.20 / $50.10	Professional	26	$41.00	$48.20	$50.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $28.20 / $29.30	Professional	TC	$24.00	$28.20	$29.30