Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $333.73 / $333.73 / $333.73	Facility	26	$333.73	$333.73	$333.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.63 / $1,237.08 / $1,829.97	Professional		$1,179.63	$1,237.08	$1,829.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.79 / $333.73 / $1,827.90	Professional	26	$289.79	$333.73	$1,827.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.32 / $2,251.44 / $2,774.15	Professional		$2,219.32	$2,251.44	$2,774.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $625.32 / $634.37 / $781.65	Professional	26	$625.32	$634.37	$781.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,329.78 / $2,209.94 / $7,402.64	Professional		$1,329.78	$2,209.94	$7,402.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $388.96 / $647.63 / $2,032.70	Professional	26	$388.96	$647.63	$2,032.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,617.47 / $2,488.62 / $3,009.68	Professional		$1,617.47	$2,488.62	$3,009.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,401.20 / $1,818.52 / $2,124.19	Professional		$1,401.20	$1,818.52	$2,124.19
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $423.38 / $552.08 / $629.42	Professional	26	$423.38	$552.08	$629.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.78 / $2,202.96 / $2,958.11	Professional		$1,329.78	$2,202.96	$2,958.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $421.78 / $647.78 / $679.10	Professional	26	$421.78	$647.78	$679.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,138.50 / $2,515.90 / $2,616.60	Professional		$2,138.50	$2,515.90	$2,616.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $649.20 / $763.80 / $794.40	Professional	26	$649.20	$763.80	$794.40