Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $851.14	Professional		$302.00	$380.19	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $67.61 / $165.96	Professional	26	$64.57	$67.61	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,000.00	Professional		$645.65	$794.33	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $151.36 / $190.55	Professional	26	$123.03	$151.36	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $831.76	Professional		$323.59	$489.78	$831.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $89.13 / $190.55	Professional	26	$58.88	$89.13	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $645.65	Professional		$446.68	$602.56	$645.65
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $123.03	Professional	26	$83.18	$112.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $794.33	Professional		$407.38	$602.56	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $177.83	Professional	26	$75.86	$112.20	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $660.69	Professional		$562.34	$660.69	$660.69
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $128.82	Professional	26	$109.65	$128.82	$128.82