Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.56 / $20.56 / $20.56	Facility	26	$20.56	$20.56	$20.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $189.41 / $299.43	Professional		$159.41	$189.41	$299.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $413.45 / $516.80	Professional		$338.12	$413.45	$516.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $256.48 / $429.89	Professional		$168.62	$256.48	$429.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $383.24 / $510.91	Professional		$209.59	$383.24	$510.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $297.89 / $339.77	Professional		$197.67	$297.89	$339.77
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $34.04 / $38.81	Professional	26	$25.84	$34.04	$38.81
United Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $236.42 / $396.74	Professional		$211.70	$236.42	$396.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $352.60 / $352.60	Professional		$299.70	$352.60	$352.60