Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,454.71 / $4,677.35	Facility		$204.17	$2,454.71	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $524.81	Professional		$190.55	$309.03	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,000.00	Professional		$489.78	$616.60	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $891.25	Facility		$257.04	$457.09	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $2,511.89	Professional		$309.03	$676.08	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $794.33	Professional		$478.63	$512.86	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Professional		$467.74	$467.74	$724.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $660.69	Professional		$363.08	$489.78	$660.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	AS	$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $851.14	Professional		$288.40	$478.63	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $741.31	Professional		$389.05	$478.63	$741.31