Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $60.78 / $60.78	Facility	26	$60.78	$60.78	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $197.94 / $236.35	Professional		$192.33	$197.94	$236.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $52.31 / $188.10	Professional	26	$45.18	$52.31	$188.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.61 / $505.76 / $632.20	Professional		$413.61	$505.76	$632.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.38 / $134.97 / $168.71	Professional	26	$110.38	$134.97	$168.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $413.66 / $1,471.51	Professional		$248.70	$413.66	$1,471.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $104.29 / $378.45	Professional	26	$59.60	$104.29	$378.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $155.24 / $155.24 / $155.24	Facility	26	$155.24	$155.24	$155.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $458.99 / $560.86	Professional		$245.00	$458.99	$560.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $350.99 / $421.19	Professional		$255.29	$350.99	$421.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.98 / $85.37 / $114.50	Professional	26	$60.98	$85.37	$114.50
United Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $413.66 / $450.51	Professional		$248.70	$413.66	$450.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $97.86 / $116.31	Professional	26	$64.98	$97.86	$116.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $433.20 / $433.20	Professional		$368.30	$433.20	$433.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $101.10 / $118.90 / $118.90	Professional	26	$101.10	$118.90	$118.90