Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.90 / $40.90 / $40.90	Facility	26	$40.90	$40.90	$40.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $87.67 / $284.58	Professional		$80.77	$87.67	$284.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.46 / $40.95 / $158.36	Professional	26	$33.46	$40.95	$158.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $193.22 / $241.52	Professional		$175.58	$193.22	$241.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $94.43 / $116.87	Professional	26	$88.17	$94.43	$116.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $163.98 / $618.72	Professional		$98.39	$163.98	$618.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $88.80 / $320.32	Professional	26	$51.71	$88.80	$320.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $177.86 / $225.78	Professional		$145.00	$177.86	$225.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $145.12 / $171.43	Professional		$101.20	$145.12	$171.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $78.33 / $89.92	Professional	26	$54.84	$78.33	$89.92
United Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $148.85 / $216.83	Professional		$108.64	$148.85	$216.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $107.73 / $118.44	Professional	26	$51.71	$107.73	$118.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $200.10 / $208.10	Professional		$170.10	$200.10	$208.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $89.20 / $104.90 / $109.10	Professional	26	$89.20	$104.90	$109.10