Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.04 / $39.04 / $39.04	Facility	26	$39.04	$39.04	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $109.63 / $201.36	Professional		$107.95	$109.63	$201.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $37.77 / $93.60	Professional	26	$21.42	$37.77	$93.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $281.58 / $351.97	Professional		$230.28	$281.58	$351.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $86.88 / $108.60	Professional	26	$56.84	$86.88	$108.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $219.01 / $810.58	Professional		$125.15	$219.01	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.50 / $49.88 / $242.65	Professional	26	$28.50	$49.88	$242.65
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $74.94 / $74.94 / $74.94	Facility	26	$74.94	$74.94	$74.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $250.10 / $309.86	Professional		$133.00	$250.10	$309.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $173.63 / $232.88	Professional		$126.06	$173.63	$232.88
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.28 / $54.98 / $73.75	Professional	26	$29.28	$54.98	$73.75
United Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $208.58 / $225.15	Professional		$135.85	$208.58	$225.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $47.50 / $75.34	Professional	26	$35.63	$47.50	$75.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $241.80 / $241.80	Professional		$205.50	$241.80	$241.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $76.59 / $76.59	Professional	26	$65.09	$76.59	$76.59