Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.18 / $8.18 / $8.18	Facility	26	$8.18	$8.18	$8.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $34.53 / $57.92	Professional		$30.22	$34.53	$57.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $79.90 / $99.87	Professional		$65.34	$79.90	$99.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $63.92 / $208.83	Professional		$41.46	$63.92	$208.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $77.66 / $84.07	Professional		$67.51	$77.66	$84.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $58.02 / $66.63	Professional		$42.90	$58.02	$66.63
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $14.28 / $15.53	Professional	26	$10.42	$14.28	$15.53
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $60.27 / $70.90	Professional		$40.34	$60.27	$70.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $74.70 / $74.70	Professional		$63.50	$74.70	$74.70