Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $12,882.50	Facility		$2,041.74	$5,495.41	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $851.14 / $3,548.13	Professional		$407.38	$851.14	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,737.80	Professional		$870.96	$1,230.27	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,584.89	Facility		$512.86	$870.96	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,230.27 / $4,466.84	Professional		$562.34	$1,230.27	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $1,412.54	Professional		$933.25	$954.99	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,380.38	Professional		$870.96	$933.25	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,174.90	Professional		$616.60	$891.25	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	80	$234.42	$234.42	$234.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	AS	$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,621.81	Professional		$524.81	$891.25	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,412.54	Professional		$812.83	$1,000.00	$1,412.54