Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.28 / $101.28 / $101.28	Facility	26	$101.28	$101.28	$101.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $250.77 / $269.62	Professional		$229.37	$250.77	$269.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.39 / $608.91 / $761.16	Professional		$398.39	$608.91	$761.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $417.84 / $1,682.32	Professional		$228.88	$417.84	$1,682.32
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $310.56 / $310.56 / $310.56	Facility	26	$310.56	$310.56	$310.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $525.58 / $604.53	Professional		$340.00	$525.58	$604.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.09 / $357.33 / $503.94	Professional		$254.09	$357.33	$503.94
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $126.61 / $170.22 / $194.07	Professional	26	$126.61	$170.22	$194.07
United Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $417.84 / $470.03	Professional		$229.81	$417.84	$470.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $444.80 / $523.29 / $523.29	Professional		$444.80	$523.29	$523.29