Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $416.87	Professional		$70.79	$91.20	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $66.07	Professional	26	$20.89	$26.92	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $234.42	Professional		$151.36	$186.21	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $70.79	Professional	26	$45.71	$57.54	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $562.34 / $977.24	Professional		$83.18	$562.34	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $154.88	Professional	26	$19.50	$30.90	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $165.96	Professional		$151.36	$162.18	$165.96
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $52.48 / $60.26	Professional	26	$48.98	$52.48	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $151.36	Professional		$91.20	$128.82	$151.36
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $46.77	Professional	26	$23.99	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $1,000.00	Professional		$89.13	$251.19	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.90 / $46.77	Professional	26	$21.38	$30.90	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $158.49	Professional		$134.90	$158.49	$158.49
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $48.98	Professional	26	$41.69	$48.98	$48.98