Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.95 / $67.95 / $67.95	Facility	26	$67.95	$67.95	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $153.62 / $216.24	Professional		$118.55	$153.62	$216.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $305.63 / $382.03	Professional		$249.94	$305.63	$382.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $233.47 / $1,209.00	Professional		$150.38	$233.47	$1,209.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $166.43 / $166.43 / $166.43	Facility	26	$166.43	$166.43	$166.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $290.70 / $337.48	Professional		$201.00	$290.70	$337.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $224.54 / $257.47	Professional		$165.70	$224.54	$257.47
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $98.39 / $131.97	Professional	26	$64.16	$98.39	$131.97
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $218.75 / $273.44	Professional		$151.44	$218.75	$273.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $227.20 / $267.30 / $267.30	Professional		$227.20	$267.30	$267.30