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 $221.80 / $221.80 / $256.29	Professional		$221.80	$221.80	$256.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $584.10 / $730.13	Professional		$477.68	$584.10	$730.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $380.10 / $457.96	Professional		$209.06	$380.10	$457.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $457.96 / $617.47	Professional		$365.18	$457.96	$617.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $369.52 / $481.29	Professional		$247.38	$369.52	$481.29
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 $209.06 / $295.19 / $407.72	Professional		$209.06	$295.19	$407.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $539.40 / $539.40	Professional		$458.50	$539.40	$539.40