Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $472.03 / $472.03 / $472.03	Facility	26	$472.03	$472.03	$472.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.12 / $827.04 / $1,131.24	Professional		$804.12	$827.04	$1,131.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $408.07 / $521.64 / $722.37	Professional	26	$408.07	$521.64	$722.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.77 / $2,183.60 / $2,729.49	Professional		$1,785.77	$2,183.60	$2,729.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $875.44 / $1,070.47 / $1,338.08	Professional	26	$875.44	$1,070.47	$1,338.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $896.85 / $1,576.98 / $1,923.99	Professional		$896.85	$1,576.98	$1,923.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $543.94 / $841.10 / $1,273.08	Professional	26	$543.94	$841.10	$1,273.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.00 / $1,923.99 / $2,349.63	Professional		$1,412.00	$1,923.99	$2,349.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $923.43 / $1,441.13 / $1,815.20	Professional		$923.43	$1,441.13	$1,815.20
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $593.71 / $791.52 / $948.05	Professional	26	$593.71	$791.52	$948.05
United Facility/Professional Professional Modifier Low / Median / High Price $908.52 / $1,103.68 / $1,651.86	Professional		$908.52	$1,103.68	$1,651.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $547.25 / $560.74 / $906.56	Professional	26	$547.25	$560.74	$906.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,729.20 / $2,034.30 / $2,034.30	Professional		$1,729.20	$2,034.30	$2,034.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $859.70 / $1,011.40 / $1,011.40	Professional	26	$859.70	$1,011.40	$1,011.40