Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.87 / $20.87 / $20.87	Facility	26	$20.87	$20.87	$20.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $93.54 / $106.65	Professional		$84.74	$93.54	$106.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $171.29 / $211.99	Professional		$145.44	$171.29	$211.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $172.65 / $554.82	Professional		$93.38	$172.65	$554.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $171.60 / $185.18	Professional		$107.59	$171.60	$185.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $131.97 / $155.26	Professional		$84.38	$131.97	$155.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $31.89 / $37.52	Professional	26	$23.08	$31.89	$37.52
United Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $163.69 / $194.31	Professional		$93.38	$163.69	$194.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $195.90 / $195.90	Professional		$160.10	$195.90	$195.90