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 $56.50 / $77.95 / $185.40	Professional		$56.50	$77.95	$185.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $19.32 / $30.04	Professional	26	$18.07	$19.32	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $155.63 / $194.54	Professional		$133.47	$155.63	$194.54
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 $68.41 / $143.25 / $516.91	Professional		$68.41	$143.25	$516.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.02 / $35.67 / $122.01	Professional	26	$20.02	$35.67	$122.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $142.76 / $207.77	Professional		$86.23	$142.76	$207.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $119.75 / $143.69	Professional		$78.28	$119.75	$143.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.87 / $32.34 / $36.86	Professional	26	$23.87	$32.34	$36.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $133.44 / $168.53	Professional		$68.41	$133.44	$168.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $35.67 / $41.96	Professional	26	$19.89	$35.67	$41.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $179.60 / $179.60	Professional		$146.80	$179.60	$179.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $46.50 / $46.50	Professional	26	$38.00	$46.50	$46.50