Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.48 / $27.48 / $27.48	Facility	26	$27.48	$27.48	$27.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $121.93 / $143.55	Professional		$110.26	$121.93	$143.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $308.73 / $385.91	Professional		$252.48	$308.73	$385.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $223.82 / $891.71	Professional		$127.90	$223.82	$891.71
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $89.54 / $89.54 / $89.54	Facility	26	$89.54	$89.54	$89.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $261.86 / $345.88	Professional		$160.00	$261.86	$345.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $189.54 / $254.23	Professional		$129.19	$189.54	$254.23
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $45.96 / $52.40	Professional	26	$34.28	$45.96	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $188.24 / $236.00	Professional		$141.18	$188.24	$236.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $264.00 / $264.00	Professional		$224.40	$264.00	$264.00