Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.25 / $21.25 / $21.25	Facility	26	$21.25	$21.25	$21.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $97.08 / $154.10	Professional		$59.75	$97.08	$154.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $191.92 / $239.90	Professional		$164.59	$191.92	$239.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $178.63 / $641.64	Professional		$92.30	$178.63	$641.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $162.75 / $207.68	Professional		$106.36	$162.75	$207.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $133.44 / $175.96	Professional		$97.26	$133.44	$175.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $31.89 / $37.52	Professional	26	$22.86	$31.89	$37.52
United Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $173.36 / $203.95	Professional		$92.91	$173.36	$203.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $222.10 / $222.10	Professional		$181.50	$222.10	$222.10