Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.91 / $58.91 / $58.91	Facility	26	$58.91	$58.91	$58.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $214.39 / $401.36	Professional		$214.39	$214.39	$401.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.93 / $50.93 / $63.22	Professional	26	$50.93	$50.93	$63.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.86 / $587.98 / $734.98	Professional		$480.86	$587.98	$734.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.58 / $130.32 / $162.90	Professional	26	$106.58	$130.32	$162.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.69 / $518.74 / $2,077.23	Professional		$334.69	$518.74	$2,077.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.12 / $112.98 / $394.61	Professional	26	$73.12	$112.98	$394.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $192.29 / $192.29 / $192.29	Facility	26	$192.29	$192.29	$192.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $494.27 / $578.98 / $708.59	Professional		$494.27	$578.98	$708.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $445.02 / $493.81	Professional		$333.80	$445.02	$493.81
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $96.46 / $109.97	Professional	26	$74.23	$96.46	$109.97
United Facility/Professional Professional Modifier Low / Median / High Price $305.98 / $518.74 / $569.17	Professional		$305.98	$518.74	$569.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.91 / $106.91 / $127.95	Professional	26	$67.91	$106.91	$127.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $480.70 / $565.50 / $565.50	Professional		$480.70	$565.50	$565.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $109.10 / $128.30 / $128.30	Professional	26	$109.10	$128.30	$128.30