Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.67 / $85.67 / $85.67	Facility	26	$85.67	$85.67	$85.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $137.41 / $218.56	Professional		$119.78	$137.41	$218.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $312.61 / $390.76	Professional		$255.65	$312.61	$390.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $250.54 / $314.42	Professional		$128.88	$250.54	$314.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $309.63 / $362.45	Professional		$215.00	$309.63	$362.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $223.96 / $261.35	Professional		$165.61	$223.96	$261.35
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $106.40 / $141.28 / $161.08	Professional	26	$106.40	$141.28	$161.08
United Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $173.09 / $275.58	Professional		$160.18	$173.09	$275.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $271.39 / $271.39	Professional		$230.70	$271.39	$271.39