Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $3.02	Facility	26	$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $112.20	Professional		$42.66	$52.48	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $131.83	Professional		$79.43	$104.71	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $446.68	Professional		$51.29	$83.18	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $114.82	Professional		$97.72	$100.00	$114.82
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.51 / $8.91	Professional	26	$7.41	$8.51	$8.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $100.00	Professional		$56.23	$100.00	$100.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $93.33	Professional		$52.48	$67.61	$93.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $5.37 / $7.08	Professional	26	$4.27	$5.37	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $112.20	Professional		$51.29	$81.28	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $112.20	Professional		$91.20	$95.50	$112.20