Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $412.79 / $412.79 / $412.79	Facility	26	$412.79	$412.79	$412.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.53 / $1,514.68 / $2,243.32	Professional		$1,355.53	$1,514.68	$2,243.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,715.53 / $2,754.83 / $3,394.41	Professional		$2,715.53	$2,754.83	$3,394.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.23 / $2,733.72 / $9,066.29	Professional		$1,640.23	$2,733.72	$9,066.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,989.21 / $3,048.77 / $3,687.05	Professional		$1,989.21	$3,048.77	$3,687.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,732.91 / $2,231.50 / $2,602.16	Professional		$1,732.91	$2,231.50	$2,602.16
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $524.15 / $683.72 / $779.51	Professional	26	$524.15	$683.72	$779.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.23 / $2,602.23 / $3,035.95	Professional		$1,640.23	$2,602.23	$3,035.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,617.60 / $3,079.60 / $3,202.70	Professional		$2,617.60	$3,079.60	$3,202.70