Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $28.84	Professional	26	$23.44	$23.44	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $63.10 / $79.43	Professional	TC	$63.10	$63.10	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $162.18	Professional		$72.44	$107.15	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $28.84 / $52.48	Professional	26	$19.50	$28.84	$52.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $79.43 / $117.49	Professional	TC	$46.77	$79.43	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $147.91	Professional		$97.72	$125.89	$147.91
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $39.81	Professional	26	$26.30	$34.67	$39.81
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $107.15	Professional	TC	$70.79	$93.33	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $162.18	Professional		$85.11	$107.15	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $42.66	Professional	26	$19.50	$26.92	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $79.43 / $117.49	Professional	TC	$61.66	$79.43	$117.49