Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.99 / $204.99 / $204.99	Facility	26	$204.99	$204.99	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $580.76 / $1,029.33	Professional		$545.34	$580.76	$1,029.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $176.94 / $181.68 / $318.55	Professional	26	$176.94	$181.68	$318.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.50 / $1,437.37 / $1,796.72	Professional		$1,175.50	$1,437.37	$1,796.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $379.99 / $464.64 / $580.80	Professional	26	$379.99	$464.64	$580.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.61 / $1,093.35 / $1,352.46	Professional		$588.61	$1,093.35	$1,352.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $220.83 / $364.95 / $552.75	Professional	26	$220.83	$364.95	$552.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,147.68 / $1,352.46 / $1,608.31	Professional		$1,147.68	$1,352.46	$1,608.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $646.33 / $1,019.20 / $1,188.35	Professional		$646.33	$1,019.20	$1,188.35
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $204.70 / $332.69 / $391.37	Professional	26	$204.70	$332.69	$391.37
United Facility/Professional Professional Modifier Low / Median / High Price $520.57 / $728.90 / $1,206.64	Professional		$520.57	$728.90	$1,206.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $220.83 / $243.30 / $393.56	Professional	26	$220.83	$243.30	$393.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,132.09 / $1,331.80 / $1,331.80	Professional		$1,132.09	$1,331.80	$1,331.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $372.80 / $438.60 / $438.60	Professional	26	$372.80	$438.60	$438.60