Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.41 / $52.41 / $52.41	Facility	26	$52.41	$52.41	$52.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $209.93 / $230.92	Professional		$105.22	$209.93	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $269.94 / $337.43	Professional		$220.76	$269.94	$337.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $240.46 / $3,401.00	Professional		$155.97	$240.46	$3,401.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	26	$177.02	$177.02	$177.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $299.72 / $584.12	Professional		$250.49	$299.72	$584.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $216.34 / $235.11	Professional		$163.57	$216.34	$235.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $89.65 / $102.21	Professional	26	$68.22	$89.65	$102.21
United Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $233.02 / $287.85	Professional		$142.19	$233.02	$287.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $236.40 / $236.40	Professional		$201.00	$236.40	$236.40