Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $138.94 / $2,290.00	Facility		$138.94	$138.94	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $138.94 / $224.60	Professional		$116.73	$138.94	$224.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $311.64 / $389.55	Professional		$239.40	$311.64	$389.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.68 / $226.81 / $387.61	Facility		$167.68	$226.81	$387.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $298.26 / $1,902.24	Professional		$146.03	$298.26	$1,902.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $321.72 / $446.36	Facility		$221.83	$321.72	$446.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $306.04 / $386.72	Professional		$221.83	$306.04	$386.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $245.68 / $280.11	Professional		$181.45	$245.68	$280.11
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $54.56 / $54.56 / $54.56	Professional	80	$54.56	$54.56	$54.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $54.56 / $54.56 / $54.56	Professional	AS	$54.56	$54.56	$54.56
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $284.06 / $397.15	Professional		$156.22	$284.06	$397.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $340.00 / $340.00	Professional		$277.89	$340.00	$340.00