Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $194.98	Professional		$72.44	$85.11	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $245.47	Professional		$158.49	$194.98	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $181.97	Professional		$77.62	$109.65	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $158.49	Professional		$104.71	$138.04	$158.49
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $16.98	Professional	26	$11.75	$15.85	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $181.97	Professional		$97.72	$128.82	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $162.18	Professional		$138.04	$162.18	$162.18