Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $1,023.29	Professional		$302.00	$426.58	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $125.89 / $288.40	Professional	26	$81.28	$125.89	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $831.76	Professional		$537.03	$660.69	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $194.98 / $245.47	Professional	26	$158.49	$194.98	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $977.24	Professional		$275.42	$549.54	$977.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $707.95	Professional	26	$89.13	$151.36	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $707.95	Professional		$549.54	$588.84	$707.95
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $177.83 / $208.93	Professional	26	$169.82	$177.83	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	26	$186.21	$186.21	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $741.31	Professional		$354.81	$537.03	$741.31
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $162.18	Professional	26	$104.71	$141.25	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $776.25	Professional		$338.84	$562.34	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $218.78	Professional	26	$89.13	$151.36	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $724.44	Professional		$616.60	$724.44	$724.44
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $218.78 / $218.78	Professional	26	$186.21	$218.78	$218.78