Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $93.33 / $93.33	Facility	26	$87.10	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $512.86	Professional		$138.04	$162.18	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $398.11	Professional		$275.42	$316.23	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $954.99	Professional		$141.25	$234.42	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $371.54	Professional		$194.98	$288.40	$371.54
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $173.78 / $213.80	Professional	26	$114.82	$173.78	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $346.74	Professional		$194.98	$194.98	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $323.59	Professional		$173.78	$251.19	$323.59
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $181.97	Professional	26	$100.00	$144.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $331.13	Professional		$165.96	$257.04	$331.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $363.08	Professional		$295.12	$363.08	$363.08