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 $115.57 / $115.57 / $149.40	Professional		$115.57	$115.57	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.79 / $293.20 / $366.52	Professional		$239.79	$293.20	$366.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $222.01 / $867.22	Professional		$126.86	$222.01	$867.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $91.33 / $91.33 / $91.33	Facility	26	$91.33	$91.33	$91.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $262.14 / $330.27	Professional		$194.00	$262.14	$330.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $179.90 / $241.29	Professional		$125.14	$179.90	$241.29
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.75 / $45.96 / $52.40	Professional	26	$34.75	$45.96	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $211.44 / $238.48	Professional		$137.72	$211.44	$238.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $250.50 / $250.50	Professional		$213.00	$250.50	$250.50