Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.60 / $23.60 / $23.60	Facility	26	$23.60	$23.60	$23.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $144.05	Professional		$121.75	$121.75	$144.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.34 / $23.60 / $69.42	Professional	26	$20.34	$23.60	$69.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $312.61 / $390.76	Professional		$255.65	$312.61	$390.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.50 / $51.97 / $64.95	Professional	26	$42.50	$51.97	$64.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $232.58 / $893.01	Professional		$132.90	$232.58	$893.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.34 / $45.23 / $188.00	Professional	26	$29.34	$45.23	$188.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $76.75 / $76.75 / $76.75	Facility	26	$76.75	$76.75	$76.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $264.33 / $342.29	Professional		$161.00	$264.33	$342.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $191.47 / $256.82	Professional		$133.93	$191.47	$256.82
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $38.58 / $44.37	Professional	26	$29.60	$38.58	$44.37
United Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $190.43 / $239.09	Professional		$132.90	$190.43	$239.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $39.15 / $48.94	Professional	26	$27.56	$39.15	$48.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $266.70 / $266.70	Professional		$226.70	$266.70	$266.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $45.70 / $45.70	Professional	26	$38.79	$45.70	$45.70