Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $48.98 / $48.98	Facility	26	$44.67	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $89.13	Professional		$57.54	$66.07	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $61.66	Professional	26	$39.81	$46.77	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $173.78	Professional		$123.03	$141.25	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $95.50 / $120.23	Professional	26	$89.13	$95.50	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $407.38	Professional		$61.66	$100.00	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $281.84	Professional	26	$45.71	$77.62	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $158.49	Professional		$128.82	$144.54	$158.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $104.71 / $112.20	Professional	26	$93.33	$104.71	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $138.04	Professional		$74.13	$107.15	$138.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $85.11	Professional	26	$51.29	$75.86	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $144.54	Professional		$64.57	$109.65	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $100.00	Professional	26	$45.71	$79.43	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $134.90	Professional		$109.65	$134.90	$134.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $93.33	Professional	26	$75.86	$93.33	$93.33