Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $269.15	Professional		$158.49	$190.55	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $177.83	Professional	26	$67.61	$79.43	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $524.81	Professional		$331.13	$416.87	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $177.83 / $223.87	Professional	26	$144.54	$177.83	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $1,122.02	Professional		$169.82	$316.23	$1,122.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $478.63	Professional	26	$77.62	$141.25	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $389.05	Professional		$346.74	$389.05	$389.05
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $181.97 / $181.97	Professional	26	$151.36	$181.97	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $338.84	Professional		$208.93	$275.42	$338.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $147.91	Professional	26	$93.33	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $389.05	Professional		$181.97	$269.15	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $169.82	Professional	26	$79.43	$123.03	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $363.08	Professional		$309.03	$363.08	$363.08
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $158.49 / $158.49	Professional	26	$134.90	$158.49	$158.49