Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	26	$14.95	$14.95	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $93.04 / $105.76	Professional		$93.04	$93.04	$105.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $13.26 / $14.95	Professional	26	$13.26	$13.26	$14.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $242.79 / $303.49	Professional		$169.48	$242.79	$303.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $34.13 / $42.66	Professional	26	$27.91	$34.13	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $160.94 / $611.40	Professional		$92.68	$160.94	$611.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $27.62 / $163.46	Professional	26	$17.92	$27.62	$163.46
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $52.46 / $52.46 / $52.46	Facility	26	$52.46	$52.46	$52.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $169.48 / $250.46	Professional		$118.00	$169.48	$250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $148.55 / $199.25	Professional		$93.70	$148.55	$199.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $25.53 / $29.11	Professional	26	$19.10	$25.53	$29.11
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $154.46 / $165.41	Professional		$98.74	$154.46	$165.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $26.88 / $32.68	Professional	26	$17.92	$26.88	$32.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.90 / $206.90 / $206.90	Professional		$175.90	$206.90	$206.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $30.20	Professional	26	$25.70	$30.20	$30.20