Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.73 / $72.73 / $72.73	Facility	26	$72.73	$72.73	$72.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $493.02 / $590.15	Professional		$413.20	$493.02	$590.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.70 / $1,288.44 / $1,610.55	Professional		$1,053.70	$1,288.44	$1,610.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $838.60 / $1,002.24	Professional		$461.23	$838.60	$1,002.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $1,002.24 / $1,305.05	Professional		$354.00	$1,002.24	$1,305.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $506.03 / $787.11 / $1,055.74	Professional		$506.03	$787.11	$1,055.74
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $91.57 / $121.42 / $138.44	Professional	26	$91.57	$121.42	$138.44
United Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $653.10 / $880.53	Professional		$461.23	$653.10	$880.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,005.70 / $1,183.20 / $1,183.20	Professional		$1,005.70	$1,183.20	$1,183.20