Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.79 / $52.79 / $52.79	Facility	53	$52.79	$52.79	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $330.43 / $509.07	Professional		$239.73	$330.43	$509.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.83 / $116.22 / $611.42	Professional	26	$99.83	$116.22	$611.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $494.12 / $611.53	Professional		$397.05	$494.12	$611.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $175.02 / $217.81 / $269.56	Professional	26	$175.02	$217.81	$269.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $473.73 / $1,920.39	Professional		$272.14	$473.73	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $120.63 / $219.32 / $1,030.27	Professional	26	$120.63	$219.32	$1,030.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $364.74 / $476.04 / $655.74	Professional		$364.74	$476.04	$655.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $395.48 / $500.13	Professional		$301.43	$395.48	$500.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $131.06 / $177.03 / $201.83	Professional	26	$131.06	$177.03	$201.83
United Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $447.61 / $522.21	Professional		$272.14	$447.61	$522.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.63 / $198.99 / $232.16	Professional	26	$120.63	$198.99	$232.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $465.10 / $547.10 / $569.00	Professional		$465.10	$547.10	$569.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $208.20 / $244.90 / $254.70	Professional	26	$208.20	$244.90	$254.70