Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $403.59 / $982.40	Facility		$177.74	$403.59	$982.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $399.76 / $1,051.68	Professional		$177.74	$399.76	$1,051.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.20 / $637.20 / $1,095.60	Professional		$376.20	$637.20	$1,095.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.54 / $556.99 / $1,009.23	Facility		$251.54	$556.99	$1,009.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $425.25 / $931.44 / $2,984.33	Professional		$425.25	$931.44	$2,984.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $931.44 / $11,341.29	Facility		$425.25	$931.44	$11,341.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $624.79 / $1,055.67	Professional		$394.47	$624.79	$1,055.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $529.92 / $737.47	Professional		$298.05	$529.92	$737.47
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $150.82 / $150.82 / $150.82	Professional	80	$150.82	$150.82	$150.82
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $150.82 / $150.82 / $150.82	Professional	AS	$150.82	$150.82	$150.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $14,287.46	Facility		$3,143.00	$3,143.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $455.31 / $735.21 / $1,143.66	Professional		$455.31	$735.21	$1,143.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $347.80 / $425.60 / $895.10	Professional		$347.80	$425.60	$895.10