Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $239.88	Professional		$131.83	$151.36	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $446.68	Professional		$323.59	$363.08	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $338.84	Professional		$144.54	$194.98	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $288.40	Professional		$190.55	$245.47	$288.40
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $123.03 / $144.54	Professional	26	$95.50	$123.03	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $338.84	Professional		$165.96	$229.09	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $323.59	Professional		$275.42	$323.59	$323.59