Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.00 / $92.00 / $92.00	Facility	26	$92.00	$92.00	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $250.13 / $352.14	Professional		$138.06	$250.13	$352.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.67 / $82.56 / $140.59	Professional	26	$79.67	$82.56	$140.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.54 / $355.27 / $444.09	Professional		$290.54	$355.27	$444.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $166.84 / $204.01 / $255.01	Professional	26	$166.84	$204.01	$255.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $312.70 / $3,391.09	Professional		$202.46	$312.70	$3,391.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.24 / $172.13 / $632.75	Professional	26	$103.24	$172.13	$632.75
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $279.14 / $279.14 / $279.14	Facility	26	$279.14	$279.14	$279.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.73 / $369.92 / $702.71	Professional		$327.73	$369.92	$702.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $277.42 / $302.75	Professional		$207.14	$277.42	$302.75
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $107.66 / $150.41 / $179.19	Professional	26	$107.66	$150.41	$179.19
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $255.68 / $354.31	Professional		$187.74	$255.68	$354.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.24 / $172.06 / $245.29	Professional	26	$110.24	$172.06	$245.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $314.39 / $314.39	Professional		$267.20	$314.39	$314.39
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $158.19 / $186.10 / $186.10	Professional	26	$158.19	$186.10	$186.10