Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.39 / $86.39 / $86.39	Facility	26	$86.39	$86.39	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.59 / $255.59 / $546.25	Professional		$255.59	$255.59	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.86 / $74.86 / $161.00	Professional	26	$74.86	$74.86	$161.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.97 / $649.26 / $811.58	Professional		$530.97	$649.26	$811.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.69 / $191.60 / $239.50	Professional	26	$156.69	$191.60	$239.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $584.23 / $3,480.43	Professional		$378.96	$584.23	$3,480.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.10 / $165.11 / $701.72	Professional	26	$107.10	$165.11	$701.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $302.44 / $302.44 / $302.44	Facility	26	$302.44	$302.44	$302.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $589.92 / $709.44 / $1,090.00	Professional		$589.92	$709.44	$1,090.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $509.50 / $637.79	Professional		$386.58	$509.50	$637.79
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $109.40 / $142.41 / $162.37	Professional	26	$109.40	$142.41	$162.37
United Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $584.23 / $681.87	Professional		$336.34	$584.23	$681.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.87 / $165.11 / $192.51	Professional	26	$99.87	$165.11	$192.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $617.10 / $726.00 / $726.00	Professional		$617.10	$726.00	$726.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $186.90 / $219.80 / $219.80	Professional	26	$186.90	$219.80	$219.80