Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $475.00 / $475.00	Professional		$42.69	$475.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $53.40 / $140.00	Professional	26	$10.53	$53.40	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $107.05 / $133.81	Professional		$87.54	$107.05	$133.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $26.37 / $32.97	Professional	26	$21.57	$26.37	$32.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $98.38 / $353.51	Professional		$63.82	$98.38	$353.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $22.94 / $74.64	Professional	26	$14.81	$22.94	$74.64
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $38.65 / $38.65 / $38.65	Facility	26	$38.65	$38.65	$38.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $113.02 / $144.12	Professional		$96.78	$113.02	$144.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $83.59 / $91.43	Professional		$64.18	$83.59	$91.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.01 / $20.02 / $22.64	Professional	26	$15.01	$20.02	$22.64
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $98.38 / $116.36	Professional		$55.92	$98.38	$116.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $22.94 / $32.11	Professional	26	$13.98	$22.94	$32.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $119.10 / $119.10	Professional		$101.20	$119.10	$119.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $30.70 / $30.70	Professional	26	$26.10	$30.70	$30.70