Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.30 / $28.30 / $28.30	Facility	26	$28.30	$28.30	$28.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $66.03 / $114.32	Professional		$63.05	$66.03	$114.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $161.35 / $201.68	Professional		$105.56	$161.35	$201.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $136.94 / $542.40	Professional		$76.65	$136.94	$542.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $92.03 / $92.03 / $92.03	Facility	26	$92.03	$92.03	$92.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $163.33 / $176.55	Professional		$142.81	$163.33	$176.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $116.88 / $133.26	Professional		$81.81	$116.88	$133.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $46.53 / $53.05	Professional	26	$33.90	$46.53	$53.05
United Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $89.87 / $153.30	Professional		$83.88	$89.87	$153.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $143.69 / $143.69	Professional		$122.10	$143.69	$143.69