Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.26 / $49.26 / $49.26	Facility	26	$49.26	$49.26	$49.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $72.18 / $87.14	Professional		$58.85	$72.18	$87.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.45 / $49.26 / $59.52	Professional	26	$41.45	$49.26	$59.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $137.44 / $170.11	Professional		$116.71	$137.44	$170.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $94.16 / $116.03	Professional	26	$79.59	$94.16	$116.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $127.90 / $404.18	Professional		$63.95	$127.90	$404.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.50 / $91.00 / $278.89	Professional	26	$45.50	$91.00	$278.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $144.53 / $169.39	Professional		$129.91	$144.53	$169.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $106.68 / $125.50	Professional		$75.84	$106.68	$125.50
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $73.14 / $86.04	Professional	26	$51.87	$73.14	$86.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $115.70 / $142.55	Professional		$63.95	$115.70	$142.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.50 / $82.33 / $96.06	Professional	26	$45.50	$82.33	$96.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $134.69 / $134.69	Professional		$110.10	$134.69	$134.69
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $75.50 / $92.30 / $92.30	Professional	26	$75.50	$92.30	$92.30