Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.39 / $2,703.13 / $4,151.03	Facility		$521.39	$2,703.13	$4,151.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.92 / $549.91 / $1,491.96	Professional		$499.92	$549.91	$1,491.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.13 / $1,179.56 / $1,474.45	Professional		$906.13	$1,179.56	$1,474.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.90 / $827.80 / $1,358.10	Facility		$628.90	$827.80	$1,358.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.24 / $1,070.31 / $3,865.44	Professional		$560.24	$1,070.31	$3,865.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.17 / $1,377.73 / $2,824.47	Facility		$960.17	$1,377.73	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $737.01 / $1,076.82 / $1,397.94	Professional		$737.01	$1,076.82	$1,397.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $642.01 / $873.79 / $1,027.92	Professional		$642.01	$873.79	$1,027.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $193.16 / $193.16 / $193.16	Professional	AS	$193.16	$193.16	$193.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.24 / $942.89 / $1,433.38	Professional		$560.24	$942.89	$1,433.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,247.70 / $1,247.70	Professional		$1,019.70	$1,247.70	$1,247.70