Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.43 / $24.43 / $24.43	Facility	26	$24.43	$24.43	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $122.73 / $272.70	Professional		$104.34	$122.73	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $314.16 / $392.70	Professional		$205.54	$314.16	$392.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $560.38 / $980.66	Professional		$157.68	$560.38	$980.66
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $56.60 / $56.60 / $56.60	Facility	26	$56.60	$56.60	$56.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $172.40 / $343.48	Professional		$123.00	$172.40	$343.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.62 / $226.96 / $261.17	Professional		$139.62	$226.96	$261.17
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.72 / $46.58	Professional	26	$21.88	$34.72	$46.58
United Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $243.09 / $933.96	Professional		$157.68	$243.09	$933.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $228.40 / $268.70 / $268.70	Professional		$228.40	$268.70	$268.70