Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.35 / $13.35 / $13.35	Facility	26	$13.35	$13.35	$13.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $60.70 / $90.46	Professional		$54.70	$60.70	$90.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $110.27 / $137.84	Professional		$83.11	$110.27	$137.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $96.46 / $452.94	Professional		$58.62	$96.46	$452.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $109.00 / $133.07	Professional		$66.94	$109.00	$133.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $86.88 / $102.21	Professional		$59.41	$86.88	$102.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $20.35 / $23.94	Professional	26	$14.68	$20.35	$23.94
United Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $91.76 / $120.44	Professional		$57.35	$91.76	$120.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $117.20 / $121.90	Professional		$99.60	$117.20	$121.90