Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.64 / $373.64 / $373.64	Facility	26	$373.64	$373.64	$373.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.18 / $1,373.87 / $1,973.73	Professional		$1,260.18	$1,373.87	$1,973.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $340.62 / $363.17 / $685.01	Professional	26	$340.62	$363.17	$685.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,461.48 / $2,497.12 / $3,076.87	Professional		$2,461.48	$2,497.12	$3,076.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $699.99 / $710.12 / $874.99	Professional	26	$699.99	$710.12	$874.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,431.82 / $2,386.36 / $8,224.96	Professional		$1,431.82	$2,386.36	$8,224.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $435.45 / $724.41 / $2,275.66	Professional	26	$435.45	$724.41	$2,275.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.66 / $2,765.30 / $3,342.35	Professional		$1,737.66	$2,765.30	$3,342.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,530.94 / $2,017.67 / $2,359.38	Professional		$1,530.94	$2,017.67	$2,359.38
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $473.56 / $619.03 / $705.77	Professional	26	$473.56	$619.03	$705.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,431.82 / $2,324.11 / $2,711.46	Professional		$1,431.82	$2,324.11	$2,711.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $435.45 / $651.46 / $760.03	Professional	26	$435.45	$651.46	$760.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,372.69 / $2,791.50 / $2,903.10	Professional		$2,372.69	$2,791.50	$2,903.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $728.00 / $856.40 / $890.70	Professional	26	$728.00	$856.40	$890.70