Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.10	Facility	26	$15.10	$15.10	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $54.34 / $85.27	Professional		$51.35	$54.34	$85.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $106.78 / $133.47	Professional		$80.91	$106.78	$133.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $94.53 / $500.00	Professional		$53.15	$94.53	$500.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $104.48 / $127.92	Professional		$67.31	$104.48	$127.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $83.58 / $98.33	Professional		$60.22	$83.58	$98.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $23.10 / $27.17	Professional	26	$16.47	$23.10	$27.17
United Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $88.40 / $121.93	Professional		$49.81	$88.40	$121.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $112.70 / $117.20	Professional		$95.80	$112.70	$117.20