Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.49 / $33.49 / $33.49	Facility	26	$33.49	$33.49	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $82.35 / $91.73	Professional		$74.87	$82.35	$91.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $168.19 / $210.24	Professional		$144.24	$168.19	$210.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $154.02 / $655.00	Professional		$77.01	$154.02	$655.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $159.43 / $198.09	Professional		$112.88	$159.43	$198.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $131.97 / $155.26	Professional		$83.36	$131.97	$155.26
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $36.56 / $50.59 / $59.51	Professional	26	$36.56	$50.59	$59.51
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $154.02 / $174.68	Professional		$79.89	$154.02	$174.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $195.90 / $195.90	Professional		$160.10	$195.90	$195.90