Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $69.18	Facility	26	$44.67	$44.67	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $158.49	Professional		$72.44	$91.20	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $123.03	Professional	26	$39.81	$51.29	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $204.17	Professional		$134.90	$162.18	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $107.15	Professional	26	$74.13	$87.10	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $489.78	Professional		$69.18	$109.65	$489.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $74.13 / $263.03	Professional	26	$43.65	$74.13	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $186.21	Professional		$131.83	$154.88	$186.21
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $102.33	Professional	26	$85.11	$97.72	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	26	$89.13	$89.13	$89.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $147.91	Professional		$81.28	$112.20	$147.91
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $79.43	Professional	26	$46.77	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $181.97	Professional		$69.18	$125.89	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $77.62 / $112.20	Professional	26	$43.65	$77.62	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $186.21	Professional		$151.36	$158.49	$186.21
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $85.11 / $100.00	Professional	26	$81.28	$85.11	$100.00