Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.69 / $51.69 / $51.69	Facility	26	$51.69	$51.69	$51.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $121.48 / $197.28	Professional		$106.90	$121.48	$197.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $278.48 / $348.10	Professional		$182.19	$278.48	$348.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $220.22 / $735.51	Professional		$124.30	$220.22	$735.51
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $167.93 / $167.93 / $167.93	Facility	26	$167.93	$167.93	$167.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $253.33 / $296.64	Professional		$202.00	$253.33	$296.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $197.34 / $230.30	Professional		$130.26	$197.34	$230.30
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.32 / $83.98 / $95.74	Professional	26	$53.32	$83.98	$95.74
United Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $186.45 / $333.62	Professional		$136.72	$186.45	$333.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $248.30 / $248.30	Professional		$211.10	$248.30	$248.30