Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $185.72 / $459.50	Professional		$185.72	$185.72	$459.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $53.49 / $67.40	Professional	26	$53.49	$53.49	$67.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $473.95 / $592.44	Professional		$387.60	$473.95	$592.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.65 / $136.52 / $170.65	Professional	26	$111.65	$136.52	$170.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $430.35 / $2,293.84	Professional		$279.14	$430.35	$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 $199.99 / $199.99 / $199.99	Facility	26	$199.99	$199.99	$199.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $430.54 / $584.05 / $718.00	Professional		$430.54	$584.05	$718.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $390.99 / $459.76	Professional		$288.27	$390.99	$459.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $101.56 / $115.80	Professional	26	$77.23	$101.56	$115.80
United Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $430.35 / $545.62	Professional		$244.46	$430.35	$545.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $107.85 / $133.22	Professional	26	$71.50	$107.85	$133.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $456.80 / $456.80	Professional		$388.30	$456.80	$456.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $114.90 / $135.10 / $135.10	Professional	26	$114.90	$135.10	$135.10