Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.90 / $77.90 / $77.90	Facility	26	$77.90	$77.90	$77.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $183.05 / $290.43	Professional		$158.13	$183.05	$290.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.34 / $77.90 / $118.85	Professional	26	$67.34	$77.90	$118.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $409.57 / $511.96	Professional		$267.95	$409.57	$511.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.70 / $175.31 / $219.14	Professional	26	$114.70	$175.31	$219.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $328.63 / $1,115.94	Professional		$179.00	$328.63	$1,115.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.12 / $146.11 / $476.34	Professional	26	$80.12	$146.11	$476.34
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $245.14 / $245.14 / $245.14	Facility	26	$245.14	$245.14	$245.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $372.90 / $443.16	Professional		$287.00	$372.90	$443.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $276.66 / $338.98	Professional		$201.23	$276.66	$338.98
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $92.95 / $125.27 / $146.85	Professional	26	$92.95	$125.27	$146.85
United Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $266.30 / $363.09	Professional		$183.43	$266.30	$363.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.75 / $122.85 / $156.74	Professional	26	$82.75	$122.85	$156.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $365.50 / $365.50	Professional		$310.70	$365.50	$365.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $134.60 / $158.30 / $158.30	Professional	26	$134.60	$158.30	$158.30