Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.13 / $141.13 / $141.13	Facility	26	$141.13	$141.13	$141.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $275.99 / $833.93	Professional		$212.72	$275.99	$833.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $130.22 / $305.36	Professional	26	$120.34	$130.22	$305.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.12 / $92.39 / $137.05	Professional	TC	$87.12	$92.39	$137.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.20 / $439.92 / $544.36	Professional		$377.20	$439.92	$544.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.91 / $266.60 / $333.25	Professional	26	$230.91	$266.60	$333.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.29 / $171.34 / $211.11	Professional	TC	$146.29	$171.34	$211.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $472.40 / $1,374.92	Professional		$236.20	$472.40	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $151.60 / $243.81 / $824.31	Professional	26	$151.60	$243.81	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.35 / $202.62 / $550.61	Professional	TC	$101.35	$202.62	$550.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.76 / $450.92 / $532.79	Professional		$349.76	$450.92	$532.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $342.59 / $403.02	Professional		$250.97	$342.59	$403.02
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $153.57 / $212.26 / $249.70	Professional	26	$153.57	$212.26	$249.70
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $99.48 / $130.33 / $164.58	Professional	TC	$99.48	$130.33	$164.58
United Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $414.01 / $496.02	Professional		$236.20	$414.01	$496.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.85 / $241.78 / $284.45	Professional	26	$134.85	$241.78	$284.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.35 / $157.84 / $210.87	Professional	TC	$101.35	$157.84	$210.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.70 / $508.60 / $508.60	Professional		$415.70	$508.60	$508.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $257.60 / $315.10 / $315.10	Professional	26	$257.60	$315.10	$315.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $158.10 / $193.50 / $193.50	Professional	TC	$158.10	$193.50	$193.50