Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $47.48 / $47.48	Professional		$47.48	$47.48	$47.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $110.26 / $175.44	Professional		$70.00	$110.26	$175.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $116.14 / $425.20	Professional		$39.35	$116.14	$425.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $49.60 / $49.60 / $49.60	Facility	26	$49.60	$49.60	$49.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $121.00 / $149.40	Professional		$80.00	$121.00	$149.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $121.11 / $142.72	Professional		$96.89	$121.11	$142.72
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $32.49 / $41.70	Professional	26	$24.55	$32.49	$41.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $42.74 / $129.04	Professional		$39.35	$42.74	$129.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $155.50 / $167.20	Professional		$120.90	$155.50	$167.20