Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.50 / $54.50 / $54.50	Facility	26	$54.50	$54.50	$54.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $114.48 / $183.44	Professional		$90.20	$114.48	$183.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.30 / $232.40 / $290.50	Professional		$199.30	$232.40	$290.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $232.18 / $803.29	Professional		$123.09	$232.18	$803.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $232.18 / $276.95	Professional		$165.14	$232.18	$276.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $182.02 / $214.12	Professional		$113.52	$182.02	$214.12
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $59.28 / $81.94 / $96.39	Professional	26	$59.28	$81.94	$96.39
United Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $209.25 / $258.49	Professional		$123.09	$209.25	$258.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $270.20 / $270.20	Professional		$220.90	$270.20	$270.20