Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.44 / $56.44 / $56.44	Facility	26	$56.44	$56.44	$56.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.89 / $320.67 / $539.63	Professional		$291.89	$320.67	$539.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $748.55 / $935.69	Professional		$612.16	$748.55	$935.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $483.82 / $806.28	Professional		$311.36	$483.82	$806.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $713.99 / $948.97	Professional		$396.00	$713.99	$948.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $387.34 / $539.60 / $625.66	Professional		$387.34	$539.60	$625.66
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $93.05 / $106.09	Professional	26	$67.31	$93.05	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $445.88 / $743.14	Professional		$387.86	$445.88	$743.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $638.79 / $638.79	Professional		$543.00	$638.79	$638.79