Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,691.53 / $9,549.93	Facility		$524.81	$2,691.53	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,621.81	Professional		$478.63	$616.60	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,513.56	Professional		$912.01	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,348.96	Facility		$630.96	$851.14	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $3,890.45	Professional		$489.78	$870.96	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,148.15	Professional		$1,071.52	$1,071.52	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,023.29	Professional		$645.65	$891.25	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	AS	$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,445.44	Professional		$562.34	$933.25	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,258.93	Professional		$1,023.29	$1,202.26	$1,258.93