Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.09 / $93.09 / $93.09	Facility	26	$93.09	$93.09	$93.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $190.38 / $292.45	Professional		$169.09	$190.38	$292.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.59 / $206.48 / $338.20	Professional	26	$86.59	$206.48	$338.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.51 / $415.00 / $518.75	Professional		$271.51	$415.00	$518.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.00 / $206.34 / $257.92	Professional	26	$135.00	$206.34	$257.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $331.11 / $1,463.47	Professional		$184.15	$331.11	$1,463.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.11 / $176.40 / $605.95	Professional	26	$107.11	$176.40	$605.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $304.74 / $304.74 / $304.74	Facility	26	$304.74	$304.74	$304.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $357.35 / $401.74 / $446.77	Professional		$357.35	$401.74	$446.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $295.14 / $344.15	Professional		$215.64	$295.14	$344.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $112.21 / $151.50 / $172.72	Professional	26	$112.21	$151.50	$172.72
United Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $270.02 / $368.30	Professional		$194.80	$270.02	$368.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.66 / $120.63 / $194.74	Professional	26	$106.66	$120.63	$194.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $315.39 / $371.10 / $371.10	Professional		$315.39	$371.10	$371.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $158.30 / $186.20 / $186.20	Professional	26	$158.30	$186.20	$186.20