Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.17 / $30.17 / $30.17	Facility	26	$30.17	$30.17	$30.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $133.72 / $159.55	Professional		$99.26	$133.72	$159.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $26.76 / $31.02	Professional	26	$26.44	$26.76	$31.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $251.33 / $314.16	Professional		$205.54	$251.33	$314.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $68.26 / $85.33	Professional	26	$55.83	$68.26	$85.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $239.65 / $963.76	Professional		$136.94	$239.65	$963.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $52.64 / $236.11	Professional	26	$33.40	$52.64	$236.11
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $93.93 / $93.93 / $93.93	Facility	26	$93.93	$93.93	$93.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $279.93 / $346.01	Professional		$215.00	$279.93	$346.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $183.27 / $227.94	Professional		$138.16	$183.27	$227.94
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $47.19 / $58.87	Professional	26	$34.33	$47.19	$58.87
United Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $202.21 / $253.86	Professional		$132.61	$202.21	$253.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $52.64 / $55.68	Professional	26	$33.40	$52.64	$55.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $217.00 / $217.00	Professional		$184.40	$217.00	$217.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $61.10 / $61.10	Professional	26	$52.00	$61.10	$61.10