Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.78 / $24.78 / $24.78	Facility	26	$24.78	$24.78	$24.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $188.28 / $225.99	Professional		$70.31	$188.28	$225.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.65 / $65.86	Professional	26	$16.71	$23.65	$65.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $183.07 / $228.83	Professional		$149.71	$183.07	$228.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $55.85 / $69.81	Professional	26	$40.76	$55.85	$69.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $560.64 / $981.12	Professional		$89.26	$560.64	$981.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $37.22 / $153.55	Professional	26	$21.28	$37.22	$153.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.54 / $58.54 / $58.54	Facility	26	$58.54	$58.54	$58.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $166.52 / $236.93	Professional		$151.63	$166.52	$236.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $132.77 / $151.37	Professional		$93.79	$132.77	$151.37
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $35.21 / $47.22	Professional	26	$23.09	$35.21	$47.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $137.60 / $934.40	Professional		$90.08	$137.60	$934.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $35.46 / $47.23	Professional	26	$25.65	$35.46	$47.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $157.19 / $157.19	Professional		$133.60	$157.19	$157.19
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.70 / $49.00 / $49.00	Professional	26	$41.70	$49.00	$49.00