Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $85.11	Professional		$43.65	$52.48	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $128.82	Professional		$81.28	$104.71	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $616.60	Professional		$54.95	$87.10	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $117.49	Professional		$102.33	$114.82	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.39 / $23.44	Professional	26	$19.95	$22.39	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $104.71	Professional		$60.26	$104.71	$104.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $93.33	Professional		$56.23	$77.62	$93.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.79 / $18.20	Professional	26	$10.96	$14.79	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $117.49	Professional		$53.70	$87.10	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $112.20	Professional		$91.20	$93.33	$112.20