Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.92 / $29.92 / $29.92	Facility	26	$29.92	$29.92	$29.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $196.63 / $223.50	Professional		$186.68	$196.63	$223.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.49 / $29.92 / $31.22	Professional	26	$25.49	$29.92	$31.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.04 / $479.38 / $599.23	Professional		$392.04	$479.38	$599.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $66.70 / $83.39	Professional	26	$54.56	$66.70	$83.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $282.45 / $519.88	Professional		$195.47	$282.45	$519.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.18 / $55.93 / $65.25	Professional	26	$34.18	$55.93	$65.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $432.67 / $615.65	Professional		$231.00	$432.67	$615.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $308.52 / $393.32	Professional		$215.18	$308.52	$393.32
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $38.18 / $49.36 / $56.28	Professional	26	$38.18	$49.36	$56.28
United Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $282.45 / $435.45	Professional		$207.56	$282.45	$435.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.18 / $37.29 / $62.14	Professional	26	$34.18	$37.29	$62.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $408.40 / $408.40	Professional		$347.10	$408.40	$408.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $49.70 / $58.40 / $58.40	Professional	26	$49.70	$58.40	$58.40