Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.01 / $71.01 / $71.01	Facility	26	$71.01	$71.01	$71.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $123.93 / $318.60	Professional		$111.73	$123.93	$318.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $66.29 / $108.51	Professional	26	$60.27	$66.29	$108.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.08 / $233.36 / $288.76	Professional		$200.08	$233.36	$288.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.06 / $134.00 / $167.50	Professional	26	$116.06	$134.00	$167.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $239.19 / $728.40	Professional		$125.88	$239.19	$728.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $135.19 / $414.32	Professional	26	$67.59	$135.19	$414.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $239.19 / $284.64	Professional		$185.98	$239.19	$284.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $181.47 / $213.48	Professional		$133.77	$181.47	$213.48
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $106.13 / $124.85	Professional	26	$76.79	$106.13	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $219.16 / $264.35	Professional		$125.88	$219.16	$264.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $121.65 / $143.12	Professional	26	$67.59	$121.65	$143.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $269.39 / $269.39	Professional		$220.20	$269.39	$269.39
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $128.80 / $157.60 / $157.60	Professional	26	$128.80	$157.60	$157.60