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 $218.78 / $263.03 / $602.56	Professional		$218.78	$263.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $741.31	Professional		$478.63	$602.56	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $457.09	Professional		$208.93	$263.03	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	26	$173.78	$173.78	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $478.63	Professional		$275.42	$407.38	$478.63
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 $208.93 / $309.03 / $537.03	Professional		$208.93	$309.03	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $537.03	Professional		$457.09	$537.03	$537.03