Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.87 / $28.87 / $28.87	Facility	26	$28.87	$28.87	$28.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $98.34 / $155.13	Professional		$84.07	$98.34	$155.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $216.42 / $270.52	Professional		$141.59	$216.42	$270.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $179.25 / $607.26	Professional		$97.80	$179.25	$607.26
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $89.04 / $89.04 / $89.04	Facility	26	$89.04	$89.04	$89.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $214.58 / $265.93	Professional		$197.12	$214.58	$265.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $157.16 / $179.19	Professional		$117.64	$157.16	$179.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $46.19 / $54.34	Professional	26	$30.63	$46.19	$54.34
United Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $126.92 / $193.06	Professional		$106.18	$126.92	$193.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $193.20 / $193.20	Professional		$164.20	$193.20	$193.20