Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.13 / $21.13 / $21.13	Facility	26	$21.13	$21.13	$21.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $81.15 / $108.23	Professional		$72.13	$81.15	$108.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $21.13 / $45.20	Professional	26	$19.32	$21.13	$45.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $144.47 / $180.58	Professional		$123.89	$144.47	$180.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $39.47 / $48.85	Professional	26	$31.72	$39.47	$48.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $139.38 / $490.88	Professional		$66.56	$139.38	$490.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $36.31 / $122.01	Professional	26	$20.23	$36.31	$122.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $143.60 / $189.76	Professional		$85.66	$143.60	$189.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $115.75 / $136.29	Professional		$89.15	$115.75	$136.29
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $32.34 / $36.86	Professional	26	$24.29	$32.34	$36.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $139.38 / $163.99	Professional		$74.06	$139.38	$163.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $36.31 / $42.71	Professional	26	$20.23	$36.31	$42.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $166.50 / $166.50	Professional		$136.10	$166.50	$166.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $46.50 / $46.50	Professional	26	$38.00	$46.50	$46.50