Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.56 / $68.56 / $68.56	Facility	26	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $114.67 / $158.15	Professional		$97.13	$114.67	$158.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $67.79 / $106.17	Professional	26	$62.65	$67.79	$106.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $221.85 / $277.31	Professional		$181.43	$221.85	$277.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.51 / $155.91 / $194.89	Professional	26	$127.51	$155.91	$194.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $173.73 / $1,748.00	Professional		$109.55	$173.73	$1,748.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.52 / $126.74 / $496.08	Professional	26	$80.52	$126.74	$496.08
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $213.81 / $213.81 / $213.81	Facility	26	$213.81	$213.81	$213.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $211.33 / $503.00	Professional		$180.81	$211.33	$503.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $157.27 / $185.01	Professional		$113.30	$157.27	$185.01
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.04 / $111.08 / $130.66	Professional	26	$83.04	$111.08	$130.66
United Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $169.04 / $182.58	Professional		$112.69	$169.04	$182.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.90 / $126.74 / $126.74	Professional	26	$79.90	$126.74	$126.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $199.50 / $199.50	Professional		$169.60	$199.50	$199.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $119.80 / $140.90 / $140.90	Professional	26	$119.80	$140.90	$140.90