Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $48.98 / $48.98	Facility	26	$33.88	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $269.15	Professional		$95.50	$125.89	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $120.23	Professional	26	$33.88	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $316.23	Professional		$199.53	$251.19	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $112.20 / $138.04	Professional	26	$79.43	$112.20	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $323.59	Professional		$102.33	$162.18	$323.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $52.48 / $309.03	Professional	26	$33.88	$52.48	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $245.47	Professional		$213.80	$223.87	$245.47
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $102.33	Professional	26	$79.43	$97.72	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $204.17	Professional		$125.89	$181.97	$204.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $93.33	Professional	26	$45.71	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $251.19	Professional		$114.82	$194.98	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $95.50	Professional	26	$38.02	$57.54	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Professional		$181.97	$213.80	$213.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $97.72 / $97.72	Professional	26	$81.28	$97.72	$97.72