Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.30 / $49.30 / $49.30	Facility	26	$49.30	$49.30	$49.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $126.34 / $178.59	Professional		$96.16	$126.34	$178.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $42.43 / $73.95	Professional	26	$32.40	$42.43	$73.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $245.90 / $307.37	Professional		$201.10	$245.90	$307.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.76 / $108.60 / $135.75	Professional	26	$71.76	$108.60	$135.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $200.02 / $803.00	Professional		$127.03	$200.02	$803.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $62.90 / $310.62	Professional	26	$40.79	$62.90	$310.62
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $111.35 / $111.35 / $111.35	Facility	26	$111.35	$111.35	$111.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $248.01 / $277.43	Professional		$134.01	$248.01	$277.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $180.43 / $207.29	Professional		$137.04	$180.43	$207.29
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $42.90 / $69.45 / $93.15	Professional	26	$42.90	$69.45	$93.15
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $200.02 / $230.96	Professional		$129.02	$200.02	$230.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $57.92 / $68.45	Professional	26	$40.79	$57.92	$68.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $213.60 / $213.60	Professional		$181.60	$213.60	$213.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $82.20 / $96.70 / $96.70	Professional	26	$82.20	$96.70	$96.70