Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.20 / $40.20 / $40.20	Facility	26	$40.20	$40.20	$40.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $161.71 / $177.89	Professional		$62.03	$161.71	$177.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $158.24 / $197.80	Professional		$129.41	$158.24	$197.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $205.93 / $891.97	Professional		$110.32	$205.93	$891.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $317.77 / $317.77 / $317.77	Facility	26	$317.77	$317.77	$317.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $229.81 / $331.74	Professional		$144.44	$229.81	$331.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $131.32 / $278.50	Professional		$94.12	$131.32	$278.50
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $74.39 / $145.63	Professional	26	$52.54	$74.39	$145.63
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $165.47 / $343.22	Professional		$82.28	$165.47	$343.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $141.60 / $141.60	Professional		$120.40	$141.60	$141.60