Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.05 / $47.05 / $47.05	Facility	26	$47.05	$47.05	$47.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $49.95 / $77.23	Professional		$15.66	$49.95	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $47.05 / $71.68	Professional	26	$15.66	$47.05	$71.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $59.81 / $67.97	Professional		$54.38	$59.81	$67.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $51.51 / $63.75	Professional	26	$51.00	$51.51	$63.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $76.69 / $90.63	Facility		$30.41	$76.69	$90.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $33.34 / $51.86	Professional		$21.90	$33.34	$51.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $33.33 / $283.52	Professional	26	$21.89	$33.33	$283.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $80.77 / $115.65	Facility		$29.95	$80.77	$115.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $46.02 / $87.19	Professional		$29.65	$46.02	$87.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $82.84 / $94.45	Professional		$63.80	$82.84	$94.45
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $74.79 / $87.98	Professional	26	$28.11	$74.79	$87.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $36.90 / $73.40	Professional		$21.90	$36.90	$73.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $36.88 / $68.40	Professional	26	$21.89	$36.88	$68.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $107.70 / $107.70	Professional		$82.80	$107.70	$107.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $77.20 / $100.40 / $100.40	Professional	26	$77.20	$100.40	$100.40