Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.95 / $51.95 / $51.95	Facility	26	$51.95	$51.95	$51.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $233.12 / $331.53	Professional		$128.01	$233.12	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.68 / $335.88 / $419.85	Professional		$274.68	$335.88	$419.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $279.11 / $3,098.01	Professional		$181.04	$279.11	$3,098.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $177.79 / $177.79 / $177.79	Facility	26	$177.79	$177.79	$177.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $345.02 / $638.41	Professional		$306.38	$345.02	$638.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $261.43 / $280.11	Professional		$192.90	$261.43	$280.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $86.81 / $98.98	Professional	26	$67.45	$86.81	$98.98
United Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $279.11 / $335.18	Professional		$171.77	$279.11	$335.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $290.80 / $290.80	Professional		$247.20	$290.80	$290.80