Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.13 / $27.13 / $27.13	Facility	26	$27.13	$27.13	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $47.52 / $78.81	Professional		$43.85	$47.52	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $112.48 / $140.60	Professional		$73.59	$112.48	$140.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $96.88 / $400.20	Professional		$54.18	$96.88	$400.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $114.57 / $132.00	Professional		$102.48	$114.57	$132.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $81.70 / $93.15	Professional		$59.41	$81.70	$93.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $44.26 / $50.46	Professional	26	$33.08	$44.26	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $70.80 / $108.36	Professional		$58.32	$70.80	$108.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $100.40 / $100.40	Professional		$85.40	$100.40	$100.40