Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $524.81	Professional		$309.03	$389.05	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,023.29	Professional		$660.69	$812.83	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,412.54	Professional		$467.74	$794.33	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $870.96	Professional		$676.08	$724.44	$870.96
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $213.80 / $245.47	Professional	26	$199.53	$213.80	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $660.69	Professional		$407.38	$562.34	$660.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $169.82 / $194.98	Professional	26	$120.23	$169.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,230.27	Professional		$416.87	$758.58	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $891.25	Professional		$758.58	$891.25	$891.25