Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.13 / $61.13 / $61.13	Facility	26	$61.13	$61.13	$61.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $184.49 / $383.66	Professional		$184.49	$184.49	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $53.19 / $61.13	Professional	26	$53.19	$53.19	$61.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.16 / $468.52 / $585.65	Professional		$383.16	$468.52	$585.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.02 / $135.75 / $169.68	Professional	26	$111.02	$135.75	$169.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $429.68 / $2,293.84	Professional		$278.70	$429.68	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.13 / $117.64 / $523.40	Professional	26	$76.13	$117.64	$523.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $199.44 / $199.44 / $199.44	Facility	26	$199.44	$199.44	$199.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $425.55 / $584.05 / $718.00	Professional		$425.55	$584.05	$718.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $386.85 / $459.76	Professional		$287.14	$386.85	$459.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $101.00 / $115.15	Professional	26	$77.23	$101.00	$115.15
United Facility/Professional Professional Modifier Low / Median / High Price $242.87 / $429.68 / $543.46	Professional		$242.87	$429.68	$543.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.09 / $114.46 / $133.22	Professional	26	$71.09	$114.46	$133.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $451.50 / $451.50	Professional		$383.80	$451.50	$451.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $114.20 / $134.40 / $134.40	Professional	26	$114.20	$134.40	$134.40