Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.61 / $55.61 / $55.61	Facility	26	$55.61	$55.61	$55.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $134.19 / $147.62	Professional		$100.58	$134.19	$147.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $256.76 / $320.95	Professional		$209.98	$256.76	$320.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $219.11 / $1,548.00	Professional		$145.19	$219.11	$1,548.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $185.14 / $185.14 / $185.14	Facility	26	$185.14	$185.14	$185.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $264.72 / $325.00	Professional		$236.26	$264.72	$325.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $195.38 / $214.77	Professional		$147.90	$195.38	$214.77
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $93.05 / $106.09	Professional	26	$71.34	$93.05	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $219.11 / $308.38	Professional		$133.41	$219.11	$308.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $223.00 / $223.00	Professional		$189.60	$223.00	$223.00