Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $194.98	Professional		$114.82	$138.04	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $371.54	Professional		$239.88	$302.00	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $302.00	Professional		$109.65	$158.49	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $57.54 / $66.07	Professional	26	$54.95	$57.54	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $239.88	Professional		$123.03	$177.83	$239.88
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $52.48	Professional	26	$33.88	$45.71	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $263.03	Professional		$117.49	$177.83	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $251.19	Professional		$213.80	$251.19	$251.19