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 $61.11 / $67.23 / $122.56	Professional		$61.11	$67.23	$122.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $241.24 / $301.55	Professional		$157.83	$241.24	$301.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $183.49 / $681.03	Professional		$87.43	$183.49	$681.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $207.78 / $265.42	Professional		$124.00	$207.78	$265.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $148.55 / $199.25	Professional		$102.97	$148.55	$199.25
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $47.66 / $54.34	Professional	26	$35.02	$47.66	$54.34
United Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $126.23 / $226.37	Professional		$87.43	$126.23	$226.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $205.60 / $205.60	Professional		$174.80	$205.60	$205.60