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 $338.67 / $420.95 / $773.65	Professional		$338.67	$420.95	$773.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $60.88 / $362.23	Professional	26	$51.32	$60.88	$362.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $368.11 / $686.43	Professional	TC	$287.33	$368.11	$686.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.20 / $961.71 / $1,202.13	Professional		$786.20	$961.71	$1,202.13
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 $687.61 / $847.25 / $1,059.06	Professional	TC	$687.61	$847.25	$1,059.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.31 / $805.86 / $2,879.21	Professional		$419.31	$805.86	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $110.40 / $356.25	Professional	26	$57.91	$110.40	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $362.74 / $722.50 / $2,522.94	Professional	TC	$362.74	$722.50	$2,522.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $523.96 / $805.86 / $966.02	Professional		$523.96	$805.86	$966.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.68 / $668.97 / $875.26	Professional		$449.68	$668.97	$875.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $65.81 / $91.28 / $107.39	Professional	26	$65.81	$91.28	$107.39
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $393.77 / $574.40 / $767.87	Professional	TC	$393.77	$574.40	$767.87
United Facility/Professional Professional Modifier Low / Median / High Price $461.08 / $790.36 / $922.09	Professional		$461.08	$790.36	$922.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $105.14 / $153.06	Professional	26	$57.91	$105.14	$153.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $361.25 / $622.69 / $799.43	Professional	TC	$361.25	$622.69	$799.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $902.80 / $1,104.59 / $1,104.59	Professional		$902.80	$1,104.59	$1,104.59
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 $792.00 / $969.10 / $969.10	Professional	TC	$792.00	$969.10	$969.10