Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $154.88	Professional		$89.13	$104.71	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $37.15	Professional	26	$12.88	$15.14	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $309.03	Professional		$199.53	$251.19	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.67 / $43.65	Professional	26	$28.18	$34.67	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $218.78	Professional		$77.62	$114.82	$218.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.44 / $162.18	Professional	26	$15.49	$23.44	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $218.78	Professional		$169.82	$199.53	$218.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $32.36 / $34.67	Professional	26	$30.20	$32.36	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $199.53	Professional		$93.33	$131.83	$199.53
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $28.84	Professional	26	$18.20	$24.55	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $194.98	Professional		$85.11	$131.83	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $26.92 / $34.67	Professional	26	$15.85	$26.92	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $208.93	Professional		$177.83	$208.93	$208.93
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $30.20	Professional	26	$25.70	$30.20	$30.20