Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $91.79 / $91.79	Professional		$91.79	$91.79	$91.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $20.39 / $20.39	Professional	26	$20.39	$20.39	$20.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $224.98 / $362.92	Professional		$35.00	$224.98	$362.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $45.41 / $68.54	Professional	26	$16.80	$45.41	$68.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $167.12 / $888.56	Professional		$67.94	$167.12	$888.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $50.00 / $239.41	Professional	26	$16.75	$50.00	$239.41
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $69.98 / $69.98 / $69.98	Facility	26	$69.98	$69.98	$69.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $236.39 / $275.30	Professional		$167.12	$236.39	$275.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $217.10 / $262.64	Professional		$108.10	$217.10	$262.64
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $31.99 / $44.26 / $50.46	Professional	26	$31.99	$44.26	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $81.89 / $179.30	Professional		$67.94	$81.89	$179.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $16.75 / $55.56	Professional	26	$15.58	$16.75	$55.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $296.39 / $318.70	Professional		$230.40	$296.39	$318.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $44.30 / $56.90 / $61.20	Professional	26	$44.30	$56.90	$61.20