Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.38 / $23.38 / $23.38	Facility	26	$23.38	$23.38	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.27 / $196.00 / $307.17	Professional		$164.27	$196.00	$307.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $424.31 / $530.38	Professional		$347.00	$424.31	$530.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $263.73 / $439.14	Professional		$173.15	$263.73	$439.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $388.23 / $524.55	Professional		$248.00	$388.23	$524.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $305.83 / $349.91	Professional		$208.34	$305.83	$349.91
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $38.58 / $43.99	Professional	26	$29.17	$38.58	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $243.06 / $405.10	Professional		$218.10	$243.06	$405.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $362.00 / $362.00	Professional		$307.70	$362.00	$362.00