Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.07 / $1,798.97 / $10,193.69	Facility		$201.07	$1,798.97	$10,193.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $209.50 / $3,944.48	Professional		$201.07	$209.50	$3,944.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.22 / $469.02 / $586.27	Professional		$426.22	$469.02	$586.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.49 / $321.16 / $821.00	Facility		$250.49	$321.16	$821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $452.26 / $1,569.76	Professional		$197.85	$452.26	$1,569.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $482.97 / $661.14	Facility		$294.00	$482.97	$661.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $467.98 / $576.47	Professional		$388.64	$467.98	$576.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $370.17 / $415.96	Professional		$273.73	$370.17	$415.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $81.59 / $81.59 / $81.59	Professional	80	$81.59	$81.59	$81.59
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $81.59 / $81.59 / $81.59	Professional	AS	$81.59	$81.59	$81.59
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $384.44 / $598.02	Professional		$249.88	$384.44	$598.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.20 / $448.50 / $466.40	Professional		$381.20	$448.50	$466.40