Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $234.42	Professional		$75.86	$100.00	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $208.93	Professional	26	$56.23	$67.61	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $281.84	Professional		$181.97	$229.09	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $158.49 / $199.53	Professional	26	$128.82	$158.49	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $1,737.80	Professional		$91.20	$120.23	$1,737.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $501.19	Professional	26	$69.18	$87.10	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $213.80	Professional		$190.55	$204.17	$213.80
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $144.54 / $158.49	Professional	26	$141.25	$144.54	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	26	$141.25	$141.25	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $186.21	Professional		$128.82	$154.88	$186.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $112.20 / $131.83	Professional	26	$87.10	$112.20	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $213.80	Professional		$109.65	$151.36	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $147.91	Professional	26	$69.18	$87.10	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $141.25 / $141.25	Professional	26	$120.23	$141.25	$141.25