Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $263.03	Professional		$100.00	$117.49	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $93.33	Professional	26	$33.88	$40.74	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $331.13	Professional		$213.80	$263.03	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $114.82	Professional	26	$74.13	$91.20	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $275.42	Professional		$107.15	$154.88	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $549.54	Professional	26	$41.69	$66.07	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $234.42	Professional		$218.78	$229.09	$234.42
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $83.18 / $100.00	Professional	26	$79.43	$83.18	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	26	$89.13	$89.13	$89.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $213.80	Professional		$125.89	$165.96	$213.80
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $75.86	Professional	26	$48.98	$67.61	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $245.47	Professional		$117.49	$165.96	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $69.18 / $93.33	Professional	26	$41.69	$69.18	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $223.87	Professional		$190.55	$223.87	$223.87
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $79.43	Professional	26	$67.61	$79.43	$79.43