Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $48.98 / $48.98	Facility		$5.89	$48.98	$48.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $46.77 / $46.77	Facility	26	$18.20	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $48.98 / $199.53	Professional		$18.20	$48.98	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $46.77 / $74.13	Professional	26	$18.20	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $67.61	Professional		$54.95	$54.95	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $63.10	Professional	26	$51.29	$51.29	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $75.86 / $147.91	Facility		$18.62	$75.86	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $302.00	Professional		$20.42	$33.11	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $32.36 / $281.84	Professional	26	$20.42	$32.36	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $66.07	Professional	26	$30.20	$30.20	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $102.33	Professional		$63.10	$83.18	$102.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $74.13 / $87.10	Professional	26	$30.90	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $97.72	Professional		$21.88	$33.88	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $93.33	Professional	26	$21.88	$37.15	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $112.20	Professional		$83.18	$104.71	$112.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $97.72 / $104.71	Professional	26	$77.62	$97.72	$104.71