Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.55 / $69.55 / $69.55	Facility	26	$69.55	$69.55	$69.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.67 / $336.44 / $442.88	Professional		$241.67	$336.44	$442.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $618.23 / $772.79	Professional		$505.60	$618.23	$772.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.39 / $399.49 / $656.98	Professional		$253.39	$399.49	$656.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.04 / $656.98 / $788.05	Professional		$560.04	$656.98	$788.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $359.12 / $447.60 / $512.19	Professional		$359.12	$447.60	$512.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $115.18 / $131.32	Professional	26	$86.24	$115.18	$131.32
United Facility/Professional Professional Modifier Low / Median / High Price $321.16 / $532.48 / $600.02	Professional		$321.16	$532.48	$600.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $449.30 / $528.60 / $528.60	Professional		$449.30	$528.60	$528.60