Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.68 / $36.68 / $36.68	Facility	26	$36.68	$36.68	$36.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $98.03 / $107.83	Professional		$51.42	$98.03	$107.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.78 / $55.85	Professional	26	$31.62	$47.78	$55.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $131.87 / $164.84	Professional		$94.43	$131.87	$164.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.29 / $81.45 / $101.81	Professional	26	$53.29	$81.45	$101.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $123.52 / $696.80	Professional		$75.23	$123.52	$696.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.90 / $67.68 / $305.45	Professional	26	$43.90	$67.68	$305.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $166.05 / $166.05 / $166.05	Facility	26	$166.05	$166.05	$166.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $154.75 / $207.60	Professional		$120.27	$154.75	$207.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $107.76 / $168.26	Professional		$77.67	$107.76	$168.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.57 / $64.53 / $87.61	Professional	26	$45.57	$64.53	$87.61
United Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $112.86 / $205.86	Professional		$68.30	$112.86	$205.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $65.84 / $107.94	Professional	26	$41.94	$65.84	$107.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $117.90 / $117.90	Professional		$100.20	$117.90	$117.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $62.30 / $73.20 / $73.20	Professional	26	$62.30	$73.20	$73.20