Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.07 / $59.07 / $59.07	Facility	26	$59.07	$59.07	$59.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $288.18 / $555.12	Professional		$229.63	$288.18	$555.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $53.88 / $84.94	Professional	26	$53.46	$53.88	$84.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.87 / $691.62 / $864.52	Professional		$537.87	$691.62	$864.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.62 / $111.66 / $139.58	Professional	26	$90.62	$111.66	$139.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.85 / $389.37 / $1,659.46	Professional		$274.85	$389.37	$1,659.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $83.87 / $337.70	Professional	26	$67.09	$83.87	$337.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $417.45 / $476.04 / $669.36	Professional		$417.45	$476.04	$669.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $534.50 / $628.79	Professional		$281.52	$534.50	$628.79
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $56.22 / $89.95 / $103.50	Professional	26	$56.22	$89.95	$103.50
United Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $350.76 / $480.98	Professional		$302.14	$350.76	$480.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.16 / $69.19 / $117.41	Professional	26	$66.16	$69.19	$117.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.00 / $704.70 / $732.90	Professional		$599.00	$704.70	$732.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $98.60 / $116.00 / $120.60	Professional	26	$98.60	$116.00	$120.60