Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.26 / $34.26 / $34.26	Facility	26	$34.26	$34.26	$34.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $96.53 / $146.46	Professional		$80.31	$96.53	$146.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $206.34 / $257.92	Professional		$135.00	$206.34	$257.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $168.98 / $579.01	Professional		$93.94	$168.98	$579.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $113.30 / $113.30 / $113.30	Facility	26	$113.30	$113.30	$113.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $188.94 / $225.78	Professional		$110.00	$188.94	$225.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $149.22 / $170.13	Professional		$112.21	$149.22	$170.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $41.45 / $56.17 / $64.04	Professional	26	$41.45	$56.17	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $123.36 / $187.88	Professional		$103.33	$123.36	$187.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $183.40 / $183.40	Professional		$155.90	$183.40	$183.40