Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.00 / $58.00 / $58.00	Facility	26	$58.00	$58.00	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $125.23 / $259.20	Professional		$112.81	$125.23	$259.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $265.29 / $331.61	Professional		$173.57	$265.29	$331.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $225.81 / $759.56	Professional		$123.43	$225.81	$759.56
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $188.60 / $188.60 / $188.60	Facility	26	$188.60	$188.60	$188.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $255.89 / $299.00	Professional		$219.60	$255.89	$299.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $192.92 / $223.13	Professional		$148.02	$192.92	$223.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $94.19 / $107.39	Professional	26	$72.91	$94.19	$107.39
United Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $219.71 / $245.72	Professional		$135.15	$219.71	$245.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $237.20 / $237.20	Professional		$201.60	$237.20	$237.20