Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $72.44 / $72.44	Facility	26	$70.79	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Professional		$141.25	$169.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $186.21	Professional	26	$61.66	$72.44	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $416.87	Professional		$245.47	$338.84	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $141.25 / $173.78	Professional	26	$102.33	$141.25	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $977.24	Professional		$147.91	$245.47	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $109.65 / $426.58	Professional	26	$67.61	$109.65	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $380.19	Professional		$309.03	$354.81	$380.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $154.88 / $165.96	Professional	26	$138.04	$154.88	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $323.59	Professional		$181.97	$323.59	$323.59
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $144.54 / $144.54	Professional	26	$74.13	$144.54	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $302.00	Professional		$181.97	$223.87	$302.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $128.82	Professional	26	$77.62	$95.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $354.81	Professional		$144.54	$257.04	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $147.91	Professional	26	$64.57	$112.20	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $363.08	Professional		$295.12	$309.03	$363.08
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $131.83 / $154.88	Professional	26	$125.89	$131.83	$154.88