Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,479.11	Professional		$549.54	$645.65	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $208.93 / $501.19	Professional	26	$181.97	$208.93	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,819.70	Professional		$1,348.96	$1,479.11	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $478.63 / $588.84	Professional	26	$436.52	$478.63	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,348.96	Professional		$588.84	$794.33	$1,348.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $257.04 / $416.87	Professional	26	$173.78	$257.04	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	26	$467.74	$467.74	$467.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,174.90	Professional		$776.25	$1,023.29	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $346.74 / $389.05	Professional	26	$257.04	$346.74	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Professional		$676.08	$912.01	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $316.23 / $446.68	Professional	26	$218.78	$316.23	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,318.26	Professional		$1,122.02	$1,318.26	$1,318.26
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $436.52 / $436.52	Professional	26	$371.54	$436.52	$436.52