Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.51 / $75.51 / $75.51	Facility	26	$75.51	$75.51	$75.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $138.21 / $153.99	Professional		$133.30	$138.21	$153.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.37 / $351.39 / $439.24	Professional		$287.37	$351.39	$439.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $271.91 / $338.90	Professional		$144.16	$271.91	$338.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $338.90 / $392.52	Professional		$283.16	$338.90	$392.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $247.46 / $291.11	Professional		$174.62	$247.46	$291.11
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $86.66 / $122.08 / $143.61	Professional	26	$86.66	$122.08	$143.61
United Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $181.27 / $300.86	Professional		$165.47	$181.27	$300.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $277.30 / $326.30 / $326.30	Professional		$277.30	$326.30	$326.30