Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.13 / $142.13 / $142.13	Facility	26	$142.13	$142.13	$142.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.61 / $397.61 / $465.18	Professional		$397.61	$397.61	$465.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $1,001.43 / $1,251.79	Professional		$818.98	$1,001.43	$1,251.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.75 / $929.24 / $4,924.22	Professional		$602.75	$929.24	$4,924.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $482.91 / $482.91 / $482.91	Facility	26	$482.91	$482.91	$482.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $908.73 / $1,130.48 / $1,346.31	Professional		$908.73	$1,130.48	$1,346.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $604.48 / $784.84 / $859.86	Professional		$604.48	$784.84	$859.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $179.90 / $236.04 / $269.11	Professional	26	$179.90	$236.04	$269.11
United Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $929.24 / $1,110.07	Professional		$522.08	$929.24	$1,110.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,118.40 / $1,118.40	Professional		$950.60	$1,118.40	$1,118.40