Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.12 / $94.12 / $94.12	Facility	26	$94.12	$94.12	$94.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $233.74 / $332.03	Professional		$151.00	$233.74	$332.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.42 / $80.80 / $143.16	Professional	26	$52.42	$80.80	$143.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.99 / $392.50 / $490.63	Professional		$320.99	$392.50	$490.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.03 / $209.44 / $261.80	Professional	26	$137.03	$209.44	$261.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $313.95 / $3,093.52	Professional		$179.40	$313.95	$3,093.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $117.11 / $676.01	Professional	26	$65.95	$117.11	$676.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $180.43 / $180.43 / $180.43	Facility	26	$180.43	$180.43	$180.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $360.51 / $632.87	Professional		$318.44	$360.51	$632.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $275.63 / $331.21	Professional		$181.74	$275.63	$331.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $135.04 / $181.13	Professional	26	$69.08	$135.04	$181.13
United Facility/Professional Professional Modifier Low / Median / High Price $203.32 / $299.00 / $341.70	Professional		$203.32	$299.00	$341.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.28 / $115.44 / $180.55	Professional	26	$85.28	$115.44	$180.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $343.90 / $343.90	Professional		$292.30	$343.90	$343.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $159.90 / $188.10 / $188.10	Professional	26	$159.90	$188.10	$188.10