Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $181.97	Professional		$120.23	$144.54	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $29.51	Professional	26	$20.89	$23.99	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $389.05	Professional		$263.03	$316.23	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $45.71 / $57.54	Professional	26	$41.69	$45.71	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $851.14	Professional		$134.90	$257.04	$851.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $42.66 / $147.91	Professional	26	$26.30	$42.66	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $295.12	Professional		$257.04	$257.04	$295.12
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $53.70	Professional	26	$47.86	$47.86	$53.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $281.84	Professional		$169.82	$239.88	$281.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $43.65	Professional	26	$28.18	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $338.84	Professional		$158.49	$275.42	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $51.29	Professional	26	$25.12	$42.66	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $323.59	Professional		$269.15	$316.23	$323.59
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $51.29	Professional	26	$41.69	$48.98	$51.29