Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $22.97 / $22.97	Facility	26	$22.97	$22.97	$22.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $71.56 / $100.78	Professional		$42.03	$71.56	$100.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $27.32 / $36.70	Professional	26	$19.80	$27.32	$36.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $109.37 / $136.72	Professional		$72.27	$109.37	$136.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $51.97 / $64.95	Professional	26	$34.00	$51.97	$64.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $95.09 / $497.00	Professional		$58.36	$95.09	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $42.98 / $320.31	Professional	26	$27.88	$42.98	$320.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $95.24 / $95.24 / $95.24	Facility	26	$95.24	$95.24	$95.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $121.65 / $153.59	Professional		$98.88	$121.65	$153.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $88.11 / $128.80	Professional		$63.51	$88.11	$128.80
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $38.02 / $51.06	Professional	26	$28.12	$38.02	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $87.53 / $158.47	Professional		$55.92	$87.53	$158.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $37.63 / $62.72	Professional	26	$26.36	$37.63	$62.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $97.60 / $97.60	Professional		$83.00	$97.60	$97.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $46.70 / $46.70	Professional	26	$39.70	$46.70	$46.70