Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $52.48	Professional		$30.90	$36.31	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $18.62	Professional	26	$7.08	$8.91	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $102.33	Professional		$66.07	$81.28	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $24.55	Professional	26	$15.85	$19.95	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $87.10	Professional		$30.90	$45.71	$87.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $97.72	Professional	26	$9.12	$14.13	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $74.13	Professional		$67.61	$69.18	$74.13
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $18.62 / $21.38	Professional	26	$17.38	$18.62	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $66.07	Professional		$37.15	$51.29	$66.07
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.79 / $16.98	Professional	26	$10.72	$14.79	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $75.86	Professional		$33.11	$51.29	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.49 / $19.50	Professional	26	$9.33	$15.49	$19.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $69.18	Professional		$58.88	$69.18	$69.18
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.38 / $17.38	Professional	26	$14.79	$17.38	$17.38