Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $199.53	Professional		$120.23	$141.25	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $69.18	Professional	26	$19.95	$22.91	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $398.11	Professional		$257.04	$316.23	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $66.07	Professional	26	$42.66	$53.70	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $316.23	Professional		$109.65	$165.96	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $186.21	Professional	26	$24.55	$38.02	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $47.86 / $57.54	Professional	26	$46.77	$47.86	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	26	$50.12	$50.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $257.04	Professional		$138.04	$186.21	$257.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $43.65	Professional	26	$28.18	$38.02	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $275.42	Professional		$123.03	$190.55	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $40.74 / $53.70	Professional	26	$24.55	$40.74	$53.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $45.71 / $45.71	Professional	26	$38.90	$45.71	$45.71