Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.75 / $44.75 / $44.75	Facility	26	$44.75	$44.75	$44.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $108.31 / $128.22	Professional		$80.29	$108.31	$128.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $218.44 / $273.05	Professional		$187.33	$218.44	$273.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $195.66 / $706.46	Professional		$99.60	$195.66	$706.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $202.06 / $237.81	Professional		$126.36	$202.06	$237.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $152.59 / $201.19	Professional		$108.44	$152.59	$201.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $67.64 / $79.56	Professional	26	$48.44	$67.64	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $194.03 / $275.07	Professional		$104.57	$194.03	$275.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $253.90 / $253.90	Professional		$207.50	$253.90	$253.90