Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.68 / $112.68 / $112.68	Facility	26	$112.68	$112.68	$112.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.49 / $331.76 / $475.00	Professional		$260.49	$331.76	$475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.58 / $658.57 / $823.21	Professional		$538.58	$658.57	$823.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $597.35 / $3,148.28	Professional		$386.20	$597.35	$3,148.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $371.99 / $371.99 / $371.99	Facility	26	$371.99	$371.99	$371.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $599.19 / $722.35 / $897.97	Professional		$599.19	$722.35	$897.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $516.46 / $550.86	Professional		$382.72	$516.46	$550.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $142.02 / $186.11 / $212.18	Professional	26	$142.02	$186.11	$212.18
United Facility/Professional Professional Modifier Low / Median / High Price $342.73 / $581.20 / $675.84	Professional		$342.73	$581.20	$675.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $737.40 / $737.40	Professional		$626.79	$737.40	$737.40