Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $304.50 / $304.50	Professional		$304.50	$304.50	$304.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.38 / $58.38 / $206.48	Professional	26	$58.38	$58.38	$206.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $817.13 / $1,318.13	Professional		$240.80	$817.13	$1,318.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.06 / $132.75 / $197.72	Professional	26	$98.06	$132.75	$197.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.36 / $629.29 / $3,261.22	Professional		$235.36	$629.29	$3,261.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $142.24 / $665.00	Professional	26	$47.58	$142.24	$665.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $195.95 / $195.95 / $195.95	Facility	26	$195.95	$195.95	$195.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $811.00 / $1,015.54	Professional		$565.00	$811.00	$1,015.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $421.62 / $837.48 / $1,060.60	Professional		$421.62	$837.48	$1,060.60
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $90.95 / $124.70 / $145.55	Professional	26	$90.95	$124.70	$145.55
United Facility/Professional Professional Modifier Low / Median / High Price $235.36 / $290.20 / $699.22	Professional		$235.36	$290.20	$699.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.54 / $47.58 / $158.04	Professional	26	$44.54	$47.58	$158.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $837.40 / $1,077.59 / $1,158.70	Professional		$837.40	$1,077.59	$1,158.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $127.70 / $164.30 / $176.60	Professional	26	$127.70	$164.30	$176.60