Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.99 / $24.99 / $24.99	Facility	26	$24.99	$24.99	$24.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $108.80 / $348.87	Professional		$94.11	$108.80	$348.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $246.67 / $308.33	Professional		$201.73	$246.67	$308.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $214.45 / $2,945.80	Professional		$139.10	$214.45	$2,945.80
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $83.79 / $83.79 / $83.79	Facility	26	$83.79	$83.79	$83.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $261.08 / $523.15	Professional		$224.86	$261.08	$523.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $191.05 / $204.42	Professional		$143.30	$191.05	$204.42
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $42.56 / $48.52	Professional	26	$33.04	$42.56	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $191.55 / $251.41	Professional		$125.83	$191.55	$251.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $212.30 / $212.30	Professional		$180.40	$212.30	$212.30