Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $297.69 / $297.69	Professional		$248.71	$297.69	$297.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $635.29 / $794.12	Professional		$519.54	$635.29	$794.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $415.87 / $690.21	Professional		$266.88	$415.87	$690.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.21 / $651.98 / $814.16	Professional		$473.21	$651.98	$814.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $378.65 / $495.37 / $535.01	Professional		$378.65	$495.37	$535.01
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $67.41 / $73.75	Professional	26	$50.63	$67.41	$73.75
United Facility/Professional Professional Modifier Low / Median / High Price $329.94 / $383.36 / $638.94	Professional		$329.94	$383.36	$638.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $460.20 / $541.40 / $541.40	Professional		$460.20	$541.40	$541.40