Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.99 / $44.99 / $44.99	Facility	26	$44.99	$44.99	$44.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $240.61 / $360.00	Professional		$193.88	$240.61	$360.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.54 / $499.55 / $624.44	Professional		$408.54	$499.55	$624.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $315.56 / $526.17	Professional		$204.45	$315.56	$526.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $468.79 / $619.27	Professional		$399.00	$468.79	$619.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $361.43 / $414.57	Professional		$253.16	$361.43	$414.57
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $74.33 / $84.74	Professional	26	$56.64	$74.33	$84.74
United Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $391.51 / $508.85	Professional		$257.64	$391.51	$508.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.70 / $427.90 / $427.90	Professional		$363.70	$427.90	$427.90