Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $35.18	Facility	26	$35.18	$35.18	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $237.41 / $314.95	Professional		$195.40	$237.41	$314.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.44 / $501.88 / $627.35	Professional		$410.44	$501.88	$627.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $324.64 / $539.03	Professional		$207.68	$324.64	$539.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $475.72 / $633.86	Professional		$307.00	$475.72	$633.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $362.57 / $419.64	Professional		$231.57	$362.57	$419.64
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $44.20 / $58.44 / $66.63	Professional	26	$44.20	$58.44	$66.63
United Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $324.64 / $498.68	Professional		$259.64	$324.64	$498.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $364.80 / $429.20 / $429.20	Professional		$364.80	$429.20	$429.20