Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.61 / $66.61 / $66.61	Facility	26	$66.61	$66.61	$66.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $363.92 / $381.63	Professional		$304.61	$363.92	$381.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.04 / $66.61 / $68.89	Professional	26	$57.04	$66.61	$68.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.45 / $781.91 / $977.38	Professional		$639.45	$781.91	$977.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.53 / $147.38 / $184.23	Professional	26	$120.53	$147.38	$184.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.10 / $495.03 / $833.69	Professional		$322.10	$495.03	$833.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.31 / $123.32 / $143.77	Professional	26	$75.31	$123.32	$143.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $745.50 / $984.47	Professional		$442.00	$745.50	$984.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $564.00 / $655.45	Professional		$401.11	$564.00	$655.45
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $81.05 / $108.94 / $124.20	Professional	26	$81.05	$108.94	$124.20
United Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $456.23 / $760.38	Professional		$404.64	$456.23	$760.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.31 / $82.21 / $136.91	Professional	26	$75.31	$82.21	$136.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $567.50 / $667.70 / $667.70	Professional		$567.50	$667.70	$667.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $109.60 / $129.00 / $129.00	Professional	26	$109.60	$129.00	$129.00