Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $316.23	Professional		$63.10	$74.13	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $204.17	Professional		$131.83	$165.96	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $537.03	Professional		$66.07	$128.82	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $165.96	Professional		$138.04	$165.96	$165.96
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $67.61	Professional	26	$56.23	$67.61	$67.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $131.83	Professional		$81.28	$117.49	$131.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $56.23	Professional	26	$33.88	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $165.96	Professional		$74.13	$114.82	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $144.54	Professional		$123.03	$144.54	$144.54