Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $649.79 / $3,511.00	Facility		$649.79	$649.79	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.69 / $607.08 / $1,083.26	Professional		$568.69	$607.08	$1,083.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.34 / $1,533.27 / $1,916.59	Professional		$1,393.34	$1,533.27	$1,916.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,043.11 / $1,752.93	Facility		$775.00	$1,043.11	$1,752.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.41 / $1,412.55 / $5,004.08	Professional		$632.41	$1,412.55	$5,004.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $1,659.76 / $3,929.20	Facility		$1,064.00	$1,659.76	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $1,489.07 / $1,805.08	Professional		$922.00	$1,489.07	$1,805.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $824.65 / $1,115.14 / $1,323.56	Professional		$824.65	$1,115.14	$1,323.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $245.67 / $245.67 / $245.67	Professional	AS	$245.67	$245.67	$245.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.77 / $1,184.54 / $1,842.62	Professional		$612.77	$1,184.54	$1,842.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,427.10 / $1,484.20	Professional		$1,213.00	$1,427.10	$1,484.20