Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $43.65 / $43.65	Facility	26	$42.66	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $239.88	Professional		$95.50	$107.15	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $281.84	Professional		$190.55	$223.87	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $707.95	Professional		$93.33	$165.96	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $257.04	Professional		$190.55	$204.17	$257.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $87.10 / $102.33	Professional	26	$83.18	$87.10	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $218.78	Professional		$190.55	$190.55	$218.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $208.93	Professional		$91.20	$154.88	$208.93
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $83.18	Professional	26	$47.86	$67.61	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $234.42	Professional		$104.71	$169.82	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $251.19	Professional		$208.93	$251.19	$251.19