Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.00 / $113.00 / $113.00	Facility	26	$113.00	$113.00	$113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $235.61 / $367.79	Professional		$172.81	$235.61	$367.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $468.31 / $583.62	Professional		$400.40	$468.31	$583.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.82 / $477.92 / $1,539.23	Professional		$246.82	$477.92	$1,539.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.97 / $471.47 / $555.35	Professional		$326.97	$471.47	$555.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $365.13 / $429.54	Professional		$242.72	$365.13	$429.54
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $122.54 / $169.37 / $199.25	Professional	26	$122.54	$169.37	$199.25
United Facility/Professional Professional Modifier Low / Median / High Price $246.82 / $451.37 / $531.03	Professional		$246.82	$451.37	$531.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $443.10 / $542.10 / $542.10	Professional		$443.10	$542.10	$542.10