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 $81.28 / $97.72 / $141.25	Professional		$81.28	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $275.42	Professional		$177.83	$223.87	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $602.56	Professional		$89.13	$144.54	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Professional		$181.97	$213.80	$213.80
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $69.18	Professional	26	$56.23	$69.18	$69.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $177.83	Professional		$109.65	$151.36	$177.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $54.95	Professional	26	$34.67	$47.86	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $208.93	Professional		$100.00	$144.54	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $194.98	Professional		$165.96	$194.98	$194.98