Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.11 / $62.11 / $62.11	Facility	26	$62.11	$62.11	$62.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.04 / $440.96 / $749.38	Professional		$428.04	$440.96	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.75 / $59.97 / $87.49	Professional	26	$56.75	$59.97	$87.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $369.41 / $384.20 / $661.88	Professional	TC	$369.41	$384.20	$661.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.97 / $916.84 / $1,146.05	Professional		$914.97	$916.84	$1,146.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.94 / $115.08 / $142.72	Professional	26	$113.94	$115.08	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $801.03 / $802.66 / $1,003.33	Professional	TC	$801.03	$802.66	$1,003.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.29 / $791.82 / $3,905.69	Professional		$431.29	$791.82	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.21 / $118.42 / $617.51	Professional	26	$59.21	$118.42	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $372.08 / $744.16 / $3,576.06	Professional	TC	$372.08	$744.16	$3,576.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.53 / $829.30 / $1,050.19	Professional		$621.53	$829.30	$1,050.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $685.80 / $851.32	Professional		$426.42	$685.80	$851.32
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.66 / $95.32 / $108.68	Professional	26	$67.66	$95.32	$108.68
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $366.66 / $588.90 / $742.64	Professional	TC	$366.66	$588.90	$742.64
United Facility/Professional Professional Modifier Low / Median / High Price $431.29 / $748.66 / $905.71	Professional		$431.29	$748.66	$905.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.21 / $106.19 / $124.93	Professional	26	$59.21	$106.19	$124.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $372.08 / $632.53 / $869.39	Professional	TC	$372.08	$632.53	$869.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $878.10 / $1,074.40 / $1,074.40	Professional		$878.10	$1,074.40	$1,074.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $112.10 / $137.19 / $137.19	Professional	26	$112.10	$137.19	$137.19
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $766.00 / $937.20 / $937.20	Professional	TC	$766.00	$937.20	$937.20