Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.63 / $37.63 / $37.63	Facility	26	$37.63	$37.63	$37.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $304.83 / $366.78	Professional		$254.16	$304.83	$366.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.97 / $649.26 / $811.58	Professional		$530.97	$649.26	$811.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $440.14 / $728.58	Professional		$273.94	$440.14	$728.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $643.75 / $838.78	Professional		$463.00	$643.75	$838.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $351.54 / $484.01 / $555.69	Professional		$351.54	$484.01	$555.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $49.97 / $62.41 / $71.16	Professional	26	$49.97	$62.41	$71.16
United Facility/Professional Professional Modifier Low / Median / High Price $337.14 / $405.76 / $676.26	Professional		$337.14	$405.76	$676.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $471.00 / $554.20 / $554.20	Professional		$471.00	$554.20	$554.20