Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,174.90	Professional		$398.11	$549.54	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $177.83	Professional	26	$67.61	$89.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,258.93	Professional		$812.83	$1,000.00	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $165.96 / $204.17	Professional	26	$131.83	$165.96	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $2,754.23	Professional		$398.11	$562.34	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $436.52	Professional	26	$75.86	$95.50	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,047.13	Professional		$891.25	$954.99	$1,047.13
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $151.36 / $169.82	Professional	26	$147.91	$151.36	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $812.83	Professional		$537.03	$691.83	$812.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $134.90	Professional	26	$95.50	$125.89	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $954.99	Professional		$478.63	$660.69	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $154.88	Professional	26	$81.28	$104.71	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,096.48	Professional		$933.25	$1,096.48	$1,096.48
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $181.97 / $181.97	Professional	26	$154.88	$181.97	$181.97