Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.43 / $24.43 / $24.43	Facility	26	$24.43	$24.43	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $137.59 / $224.10	Professional		$131.25	$137.59	$224.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $23.05 / $34.24	Professional	26	$22.17	$23.05	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $304.27 / $380.36	Professional		$246.95	$304.27	$380.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $45.31 / $55.83	Professional	26	$36.25	$45.31	$55.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $279.77 / $845.52	Professional		$170.13	$279.77	$845.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $47.48 / $147.91	Professional	26	$26.12	$47.48	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $259.81 / $283.14 / $347.89	Professional		$259.81	$283.14	$347.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $245.68 / $280.82	Professional		$189.68	$245.68	$280.82
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.90 / $38.58 / $44.37	Professional	26	$28.90	$38.58	$44.37
United Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $277.44 / $326.39	Professional		$170.13	$277.44	$326.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $42.48 / $49.98	Professional	26	$26.12	$42.48	$49.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $313.89 / $326.50	Professional		$266.80	$313.89	$326.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.90 / $49.30 / $51.30	Professional	26	$41.90	$49.30	$51.30