Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $35.32 / $35.32	Facility	26	$35.32	$35.32	$35.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $126.37 / $191.83	Professional		$105.16	$126.37	$191.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $268.39 / $335.49	Professional		$175.60	$268.39	$335.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $222.65 / $756.60	Professional		$121.26	$222.65	$756.60
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $115.36 / $115.36 / $115.36	Facility	26	$115.36	$115.36	$115.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $247.70 / $299.98	Professional		$172.00	$247.70	$299.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $194.05 / $221.24	Professional		$136.72	$194.05	$221.24
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $43.13 / $57.87 / $65.98	Professional	26	$43.13	$57.87	$65.98
United Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $159.21 / $242.16	Professional		$127.79	$159.21	$242.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $238.50 / $238.50	Professional		$202.80	$238.50	$238.50