Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.87 / $3.87 / $3.87	Facility	26	$3.87	$3.87	$3.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $54.14 / $82.99	Professional		$49.63	$54.14	$82.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $101.89 / $127.37	Professional		$74.18	$101.89	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $91.30 / $442.90	Professional		$54.29	$91.30	$442.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $98.68 / $110.85	Professional		$58.90	$98.68	$110.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $79.73 / $93.80	Professional		$53.02	$79.73	$93.80
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $4.36 / $6.05 / $7.12	Professional	26	$4.36	$6.05	$7.12
United Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $81.51 / $108.36	Professional		$51.60	$81.51	$108.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $107.50 / $111.80	Professional		$91.40	$107.50	$111.80