Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.92 / $58.92 / $58.92	Facility	26	$58.92	$58.92	$58.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $148.93 / $285.79	Professional		$132.18	$148.93	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $415.78 / $519.72	Professional		$272.02	$415.78	$519.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $263.83 / $936.67	Professional		$156.22	$263.83	$936.67
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $173.34 / $173.34 / $173.34	Facility	26	$173.34	$173.34	$173.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $316.33 / $398.73	Professional		$196.00	$316.33	$398.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $237.92 / $350.62	Professional		$159.27	$237.92	$350.62
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $66.73 / $94.97 / $121.62	Professional	26	$66.73	$94.97	$121.62
United Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $207.31 / $284.04	Professional		$156.22	$207.31	$284.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $378.00 / $378.00	Professional		$321.30	$378.00	$378.00