Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $57.54 / $57.54	Facility	26	$53.70	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $426.58	Professional		$186.21	$208.93	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $398.11 / $489.78	Professional		$389.05	$398.11	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $1,318.26	Professional		$173.78	$323.59	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $457.09	Professional		$398.11	$407.38	$457.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $131.83	Professional	26	$107.15	$107.15	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $489.78	Professional		$407.38	$407.38	$489.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $389.05	Professional		$181.97	$309.03	$389.05
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $107.15	Professional	26	$61.66	$89.13	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $457.09	Professional		$213.80	$363.08	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $446.68	Professional		$363.08	$446.68	$446.68