Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.71 / $19.71 / $19.71	Facility	26	$19.71	$19.71	$19.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $73.89 / $88.16	Professional		$68.06	$73.89	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $140.97 / $176.22	Professional		$106.88	$140.97	$176.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $129.56 / $714.00	Professional		$72.93	$129.56	$714.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $143.60 / $175.35	Professional		$94.64	$143.60	$175.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $110.53 / $131.13	Professional		$80.73	$110.53	$131.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $29.69 / $34.93	Professional	26	$21.43	$29.69	$34.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $121.00 / $167.42	Professional		$70.87	$121.00	$167.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $149.10 / $155.00	Professional		$126.70	$149.10	$155.00