Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.26 / $61.26 / $61.26	Facility	26	$61.26	$61.26	$61.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $383.87 / $714.81	Professional		$316.31	$383.87	$714.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $331.03 / $627.58	Professional	TC	$264.98	$331.03	$627.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.03 / $888.43 / $1,110.53	Professional		$721.03	$888.43	$1,110.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $628.14 / $773.97 / $967.46	Professional	TC	$628.14	$773.97	$967.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.22 / $727.84 / $2,673.66	Professional		$380.22	$727.84	$2,673.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.64 / $641.12 / $2,317.40	Professional	TC	$323.64	$641.12	$2,317.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $468.20 / $727.84 / $890.55	Professional		$468.20	$727.84	$890.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $605.15 / $809.27	Professional		$421.22	$605.15	$809.27
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 $364.97 / $510.58 / $701.89	Professional	TC	$364.97	$510.58	$701.89
United Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $643.40 / $835.70	Professional		$378.47	$643.40	$835.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.64 / $606.08 / $714.36	Professional	TC	$323.64	$606.08	$714.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.70 / $1,021.30 / $1,021.30	Professional		$834.70	$1,021.30	$1,021.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $724.00 / $885.80 / $885.80	Professional	TC	$724.00	$885.80	$885.80