Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $169.82	Professional		$100.00	$120.23	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $331.13	Professional		$213.80	$263.03	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $275.42	Professional		$107.15	$158.49	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $234.42	Professional		$218.78	$234.42	$234.42
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $91.20 / $104.71	Professional	26	$87.10	$91.20	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $213.80	Professional		$125.89	$173.78	$213.80
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $83.18	Professional	26	$53.70	$70.79	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $245.47	Professional		$117.49	$194.98	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $223.87	Professional		$190.55	$223.87	$223.87