Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.26 / $23.26 / $23.26	Facility	26	$23.26	$23.26	$23.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $88.51 / $140.37	Professional		$73.47	$88.51	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $189.27 / $236.59	Professional		$154.79	$189.27	$236.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $169.90 / $758.00	Professional		$109.19	$169.90	$758.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $74.81 / $74.81 / $74.81	Facility	26	$74.81	$74.81	$74.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $190.41 / $211.81	Professional		$102.44	$190.41	$211.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $137.88 / $163.09	Professional		$105.14	$137.88	$163.09
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.75 / $38.58 / $43.99	Professional	26	$28.75	$38.58	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $158.82 / $198.52	Professional		$97.86	$158.82	$198.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $163.19 / $163.19	Professional		$138.69	$163.19	$163.19