Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.87 / $41.87 / $41.87	Facility	26	$41.87	$41.87	$41.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $98.42 / $113.83	Professional		$98.42	$98.42	$113.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.51 / $36.51 / $41.87	Professional	26	$36.51	$36.51	$41.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.42 / $262.19 / $327.73	Professional		$214.42	$262.19	$327.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.66 / $96.19 / $120.23	Professional	26	$78.66	$96.19	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $189.15 / $683.45	Professional		$108.08	$189.15	$683.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.21 / $78.26 / $282.35	Professional	26	$50.21	$78.26	$282.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $131.77 / $131.77 / $131.77	Facility	26	$131.77	$131.77	$131.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $219.38 / $271.43	Professional		$183.50	$219.38	$271.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $161.57 / $216.71	Professional		$110.13	$161.57	$216.71
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $69.62 / $80.86	Professional	26	$51.25	$69.62	$80.86
United Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $180.14 / $199.34	Professional		$120.67	$180.14	$199.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $66.94 / $83.68	Professional	26	$49.13	$66.94	$83.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $225.00 / $225.00	Professional		$191.30	$225.00	$225.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $71.40 / $84.00 / $84.00	Professional	26	$71.40	$84.00	$84.00