Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.45 / $40.45 / $40.45	Facility	26	$40.45	$40.45	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $100.24 / $116.68	Professional		$100.24	$100.24	$116.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.69 / $34.69 / $40.45	Professional	26	$34.69	$34.69	$40.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $259.08 / $323.85	Professional		$211.88	$259.08	$323.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.59 / $89.98 / $112.48	Professional	26	$73.59	$89.98	$112.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $199.10 / $1,963.99	Professional		$117.04	$199.10	$1,963.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $78.68 / $549.82	Professional	26	$51.04	$78.68	$549.82
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $137.05 / $137.05 / $137.05	Facility	26	$137.05	$137.05	$137.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.95 / $229.50 / $375.87	Professional		$195.95	$229.50	$375.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $180.45 / $214.77	Professional		$118.86	$180.45	$214.77
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $66.95 / $76.33	Professional	26	$51.65	$66.95	$76.33
United Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $193.72 / $204.81	Professional		$120.52	$193.72	$204.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $76.56 / $85.68	Professional	26	$46.74	$76.56	$85.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $223.00 / $223.00	Professional		$189.60	$223.00	$223.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $67.40 / $79.30 / $79.30	Professional	26	$67.40	$79.30	$79.30