Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.11 / $29.11 / $29.11	Facility	26	$29.11	$29.11	$29.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $186.47 / $211.58	Professional		$132.32	$186.47	$211.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.62 / $157.36 / $176.11	Professional	TC	$107.62	$157.36	$176.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.16 / $374.77 / $468.47	Professional		$304.16	$374.77	$468.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.83 / $318.94 / $398.68	Professional	TC	$258.83	$318.94	$398.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $249.59 / $964.87	Professional		$138.88	$249.59	$964.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $111.54 / $223.08 / $798.40	Professional	TC	$111.54	$223.08	$798.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $270.68 / $336.33	Professional		$189.70	$270.68	$336.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $249.49 / $342.21	Professional		$167.96	$249.49	$342.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $43.99 / $51.75	Professional	26	$31.83	$43.99	$51.75
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $134.36 / $204.23 / $290.45	Professional	TC	$134.36	$204.23	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $241.56 / $347.20	Professional		$138.88	$241.56	$347.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.69 / $224.43 / $333.94	Professional	TC	$122.69	$224.43	$333.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $431.90 / $431.90	Professional		$353.00	$431.90	$431.90
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $299.60 / $366.60 / $366.60	Professional	TC	$299.60	$366.60	$366.60