Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $99.56 / $310.50	Professional		$99.56	$99.56	$310.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $29.10 / $29.10	Professional	26	$29.10	$29.10	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $230.54 / $397.39	Professional		$112.00	$230.54	$397.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $56.79 / $89.76	Professional	26	$42.00	$56.79	$89.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $216.79 / $1,357.00	Professional		$83.69	$216.79	$1,357.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.12 / $69.37 / $271.00	Professional	26	$24.12	$69.37	$271.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $91.61 / $91.61 / $91.61	Facility	26	$91.61	$91.61	$91.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $230.54 / $311.72	Professional		$158.00	$230.54	$311.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $176.38 / $311.16	Professional		$130.72	$176.38	$311.16
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $58.60 / $71.63	Professional	26	$42.96	$58.60	$71.63
United Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $100.06 / $216.79	Professional		$83.69	$100.06	$216.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $24.12 / $69.37	Professional	26	$22.17	$24.12	$69.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $351.20 / $377.60	Professional		$272.89	$351.20	$377.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $62.40 / $80.30 / $86.40	Professional	26	$62.40	$80.30	$86.40