Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $865.31 / $1,389.38	Professional		$786.64	$865.31	$1,389.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.81 / $1,748.76 / $2,154.77	Professional		$1,723.81	$1,748.76	$2,154.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.13 / $1,524.47 / $5,824.33	Professional		$871.13	$1,524.47	$5,824.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,066.84 / $1,729.74 / $2,334.73	Professional		$1,066.84	$1,729.74	$2,334.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $957.49 / $1,347.26 / $1,648.14	Professional		$957.49	$1,347.26	$1,648.14
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $163.91 / $217.31 / $247.76	Professional	26	$163.91	$217.31	$247.76
United Facility/Professional Professional Modifier Low / Median / High Price $871.13 / $1,524.47 / $1,791.85	Professional		$871.13	$1,524.47	$1,791.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,634.80 / $1,923.30 / $2,000.20	Professional		$1,634.80	$1,923.30	$2,000.20