Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	26	$60.88	$60.88	$60.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $350.92 / $663.25	Professional		$302.81	$350.92	$663.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.88 / $270.56	Professional	26	$51.54	$60.88	$270.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $302.17 / $576.02	Professional	TC	$251.27	$302.17	$576.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.48 / $824.92 / $1,031.15	Professional		$669.48	$824.92	$1,031.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.15 / $114.46 / $143.07	Professional	26	$98.15	$114.46	$143.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $576.60 / $710.46 / $888.08	Professional	TC	$576.60	$710.46	$888.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.47 / $685.96 / $2,452.27	Professional		$364.47	$685.96	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $115.10 / $354.09	Professional	26	$57.55	$115.10	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $306.92 / $613.84 / $2,098.17	Professional	TC	$306.92	$613.84	$2,098.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $455.64 / $685.96 / $849.87	Professional		$455.64	$685.96	$849.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $387.67 / $583.29 / $751.70	Professional		$387.67	$583.29	$751.70
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $63.74 / $91.28 / $107.39	Professional	26	$63.74	$91.28	$107.39
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $331.76 / $489.60 / $644.30	Professional	TC	$331.76	$489.60	$644.30
United Facility/Professional Professional Modifier Low / Median / High Price $364.47 / $665.82 / $813.79	Professional		$364.47	$665.82	$813.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.55 / $103.62 / $121.91	Professional	26	$57.55	$103.62	$121.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $306.92 / $556.65 / $700.57	Professional	TC	$306.92	$556.65	$700.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $775.30 / $948.70 / $948.70	Professional		$775.30	$948.70	$948.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $135.50 / $135.50	Professional	26	$110.80	$135.50	$135.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $664.60 / $813.10 / $813.10	Professional	TC	$664.60	$813.10	$813.10