Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.91 / $98.91 / $98.91	Facility	26	$98.91	$98.91	$98.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $164.72 / $269.12	Professional		$163.25	$164.72	$269.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $344.06 / $430.08	Professional		$290.77	$344.06	$430.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $301.00 / $1,321.58	Professional		$157.55	$301.00	$1,321.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $309.86 / $394.06	Professional		$188.10	$309.86	$394.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $255.94 / $318.27	Professional		$190.96	$255.94	$318.27
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $106.34 / $147.37 / $173.37	Professional	26	$106.34	$147.37	$173.37
United Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $286.22 / $336.74	Professional		$154.28	$286.22	$336.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $328.30 / $341.40 / $401.70	Professional		$328.30	$341.40	$401.70