Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.42 / $85.42 / $85.42	Facility	26	$85.42	$85.42	$85.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $697.95 / $796.99	Professional		$587.91	$697.95	$796.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.44 / $1,494.77 / $1,868.47	Professional		$1,222.44	$1,494.77	$1,868.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $945.84 / $2,063.21	Professional		$624.26	$945.84	$2,063.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,224.74 / $1,648.96 / $2,407.55	Professional		$1,224.74	$1,648.96	$2,407.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $858.45 / $1,075.22 / $1,253.84	Professional		$858.45	$1,075.22	$1,253.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $108.07 / $141.28 / $161.08	Professional	26	$108.07	$141.28	$161.08
United Facility/Professional Professional Modifier Low / Median / High Price $779.72 / $876.66 / $1,453.28	Professional		$779.72	$876.66	$1,453.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,081.90 / $1,272.90 / $1,272.90	Professional		$1,081.90	$1,272.90	$1,272.90