Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.99 / $120.99 / $120.99	Facility	26	$120.99	$120.99	$120.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $268.38 / $309.72	Professional		$268.38	$268.38	$309.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.67 / $1,103.05 / $1,378.81	Professional		$721.67	$1,103.05	$1,378.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $650.82 / $1,003.35 / $2,146.96	Professional		$650.82	$1,003.35	$2,146.96
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $396.89 / $396.89 / $396.89	Facility	26	$396.89	$396.89	$396.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $626.22 / $727.56 / $791.80	Professional		$626.22	$727.56	$791.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.30 / $863.51 / $931.83	Professional		$654.30	$863.51	$931.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $153.96 / $204.53 / $229.00	Professional	26	$153.96	$204.53	$229.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.61 / $1,003.35 / $1,323.00	Professional		$573.61	$1,003.35	$1,323.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $901.70 / $1,060.80 / $1,060.80	Professional		$901.70	$1,060.80	$1,060.80