Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $67.61 / $67.61	Facility	26	$51.29	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $223.87	Professional		$117.49	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $389.05	Professional		$251.19	$316.23	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $389.05	Professional		$125.89	$190.55	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $288.40	Professional		$263.03	$281.84	$288.40
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $134.90 / $144.54	Professional	26	$117.49	$134.90	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $257.04	Professional		$158.49	$218.78	$257.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $131.83	Professional	26	$67.61	$89.13	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $309.03	Professional		$141.25	$229.09	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15