Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.02 / $25.02 / $25.02	Facility	26	$25.02	$25.02	$25.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $63.55 / $98.92	Professional		$55.29	$63.55	$98.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $138.85 / $173.56	Professional		$90.84	$138.85	$173.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $110.65 / $393.85	Professional		$60.27	$110.65	$393.85
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $75.40 / $75.40 / $75.40	Facility	26	$75.40	$75.40	$75.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $132.85 / $166.65	Professional		$126.68	$132.85	$166.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $101.00 / $116.00	Professional		$76.00	$101.00	$116.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.95 / $38.93 / $46.91	Professional	26	$25.95	$38.93	$46.91
United Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $77.84 / $118.56	Professional		$65.20	$77.84	$118.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $124.20 / $124.20	Professional		$105.50	$124.20	$124.20