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 $53.29 / $61.78 / $99.07	Professional		$53.29	$61.78	$99.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $138.85 / $173.56	Professional		$113.55	$138.85	$173.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $109.82 / $388.28	Professional		$66.14	$109.82	$388.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $84.42 / $84.42 / $84.42	Facility	26	$84.42	$84.42	$84.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $127.96 / $150.13	Professional		$106.79	$127.96	$150.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $91.43 / $116.44	Professional		$67.19	$91.43	$116.44
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $41.99 / $47.87	Professional	26	$32.11	$41.99	$47.87
United Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $89.04 / $110.24	Professional		$68.44	$89.04	$110.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $120.90 / $120.90	Professional		$102.80	$120.90	$120.90