Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.10 / $5,159.70 / $12,956.88	Facility		$418.10	$5,159.70	$12,956.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $633.01 / $3,511.80	Professional		$389.08	$633.01	$3,511.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.88 / $1,191.05 / $1,712.07	Professional		$865.88	$1,191.05	$1,712.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $507.26 / $853.60 / $1,585.99	Facility		$507.26	$853.60	$1,585.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.12 / $1,399.68 / $4,446.96	Professional		$648.12	$1,399.68	$4,446.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $931.59 / $1,311.48 / $2,824.47	Facility		$931.59	$1,311.48	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $875.54 / $1,113.51 / $1,524.05	Professional		$875.54	$1,113.51	$1,524.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $828.03 / $1,165.71	Professional		$593.00	$828.03	$1,165.71
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $226.75 / $226.75 / $226.75	Professional	80	$226.75	$226.75	$226.75
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $226.75 / $226.75 / $226.75	Professional	AS	$226.75	$226.75	$226.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.72 / $1,101.61 / $1,713.63	Professional		$671.72	$1,101.61	$1,713.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $1,005.10 / $1,414.90	Professional		$821.40	$1,005.10	$1,414.90