Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,479.11	Professional		$831.76	$977.24	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $467.74 / $489.78 / $776.25	Professional	26	$467.74	$489.78	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,818.38	Professional		$1,905.46	$2,238.72	$2,818.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $1,000.00 / $1,096.48 / $1,380.38	Professional	26	$1,000.00	$1,096.48	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,905.46	Professional		$831.76	$1,071.52	$1,905.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $588.84 / $954.99	Professional	26	$407.38	$588.84	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	26	$1,071.52	$1,071.52	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,819.70	Professional		$1,047.13	$1,479.11	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $630.96 / $794.33 / $954.99	Professional	26	$630.96	$794.33	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,089.30	Professional		$912.01	$1,318.26	$2,089.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $724.44 / $1,071.52	Professional	26	$549.54	$724.44	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,041.74	Professional		$1,737.80	$2,041.74	$2,041.74
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $851.14 / $1,000.00 / $1,000.00	Professional	26	$851.14	$1,000.00	$1,000.00