Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.21 / $24.21 / $24.21	Facility	26	$24.21	$24.21	$24.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $73.56 / $109.19	Professional		$66.22	$73.56	$109.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $23.33 / $32.64	Professional	26	$21.39	$23.33	$32.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $137.49 / $171.86	Professional		$109.78	$137.49	$171.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $43.27 / $54.09	Professional	26	$35.11	$43.27	$54.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $128.81 / $437.32	Professional		$76.65	$128.81	$437.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $41.64 / $141.18	Professional	26	$23.61	$41.64	$141.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $166.29 / $189.76	Professional		$124.96	$166.29	$189.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $107.78 / $127.00	Professional		$77.26	$107.78	$127.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $34.64 / $41.03	Professional	26	$24.75	$34.64	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $128.81 / $183.71	Professional		$76.65	$128.81	$183.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $40.14 / $49.81	Professional	26	$22.32	$40.14	$49.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $145.40 / $151.19	Professional		$123.60	$145.40	$151.19
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $46.70 / $48.60	Professional	26	$39.70	$46.70	$48.60