Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $724.44	Professional		$208.93	$269.15	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $616.60	Professional		$457.09	$489.78	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $1,698.24	Professional		$199.53	$371.54	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $457.09	Professional		$380.19	$457.09	$457.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $162.18 / $177.83	Professional	26	$158.49	$162.18	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $398.11	Professional		$234.42	$338.84	$398.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $144.54	Professional	26	$100.00	$125.89	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $575.44	Professional		$223.87	$389.05	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $489.78	Professional		$398.11	$467.74	$489.78