Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $57.54 / $57.54	Facility	26	$41.69	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $575.44	Professional		$208.93	$288.40	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $134.90	Professional	26	$48.98	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $758.58	Professional		$478.63	$602.56	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $131.83 / $165.96	Professional	26	$107.15	$131.83	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $794.33	Professional		$239.88	$446.68	$794.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $398.11	Professional	26	$60.26	$104.71	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $575.44	Professional		$457.09	$512.86	$575.44
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $120.23 / $141.25	Professional	26	$114.82	$120.23	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $562.34	Professional		$331.13	$457.09	$562.34
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $109.65	Professional	26	$70.79	$95.50	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $691.83	Professional		$309.03	$478.63	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $131.83	Professional	26	$60.26	$104.71	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $562.34	Professional		$478.63	$562.34	$562.34
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $128.82	Professional	26	$109.65	$128.82	$128.82