Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.41 / $24.41 / $24.41	Facility	26	$24.41	$24.41	$24.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $118.01 / $149.52	Professional		$43.26	$118.01	$149.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.54 / $42.49 / $98.79	Professional	26	$25.54	$42.49	$98.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $109.07 / $136.34	Professional		$102.87	$109.07	$136.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $62.16 / $76.94	Professional	26	$58.05	$62.16	$76.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $93.40 / $358.08	Professional		$56.04	$93.40	$358.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $56.52 / $210.00	Professional	26	$33.90	$56.52	$210.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $106.65 / $130.90	Professional		$67.00	$106.65	$130.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $81.39 / $95.74	Professional		$59.24	$81.39	$95.74
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $49.36 / $56.28	Professional	26	$36.90	$49.36	$56.28
United Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $98.07 / $130.79	Professional		$56.04	$98.07	$130.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $56.52 / $77.87	Professional	26	$33.90	$56.52	$77.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $109.80 / $114.20	Professional		$93.30	$109.80	$114.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $54.80 / $64.50 / $67.09	Professional	26	$54.80	$64.50	$67.09