Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.67 / $56.67 / $56.67	Facility	26	$56.67	$56.67	$56.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $225.50 / $261.99	Professional		$225.50	$225.50	$261.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.39 / $591.08 / $738.85	Professional		$483.39	$591.08	$738.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $436.34 / $520.33	Professional		$241.65	$436.34	$520.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $520.33 / $657.54	Professional		$432.46	$520.33	$657.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $413.52 / $486.47	Professional		$252.12	$413.52	$486.47
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $56.58 / $91.83 / $108.03	Professional	26	$56.58	$91.83	$108.03
United Facility/Professional Professional Modifier Low / Median / High Price $272.68 / $448.46 / $567.82	Professional		$272.68	$448.46	$567.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.40 / $545.20 / $545.20	Professional		$463.40	$545.20	$545.20