Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.57 / $238.57 / $238.57	Facility	26	$238.57	$238.57	$238.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $974.84 / $1,441.98	Professional		$886.22	$974.84	$1,441.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.95 / $301.86 / $647.03	Professional	26	$216.95	$301.86	$647.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.70 / $1,821.68 / $2,244.62	Professional		$1,795.70	$1,821.68	$2,244.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $447.35 / $453.83 / $559.19	Professional	26	$447.35	$453.83	$559.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $997.31 / $1,662.18 / $6,012.88	Professional		$997.31	$1,662.18	$6,012.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $278.45 / $462.69 / $1,456.11	Professional	26	$278.45	$462.69	$1,456.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,213.67 / $1,995.59 / $2,434.41	Professional		$1,213.67	$1,995.59	$2,434.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,074.68 / $1,466.16 / $1,718.50	Professional		$1,074.68	$1,466.16	$1,718.50
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $303.16 / $394.91 / $450.24	Professional	26	$303.16	$394.91	$450.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.80 / $1,651.32 / $1,926.54	Professional		$1,023.80	$1,651.32	$1,926.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $278.45 / $416.52 / $596.40	Professional	26	$278.45	$416.52	$596.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,724.20 / $2,028.40 / $2,109.60	Professional		$1,724.20	$2,028.40	$2,109.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $464.40 / $546.40 / $568.20	Professional	26	$464.40	$546.40	$568.20