Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.92 / $4,338.00 / $5,827.25	Facility		$437.92	$4,338.00	$5,827.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $460.99 / $2,346.30	Professional		$419.08	$460.99	$2,346.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.09 / $993.35 / $1,241.69	Professional		$763.09	$993.35	$1,241.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.33 / $707.60 / $1,159.15	Facility		$531.33	$707.60	$1,159.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.89 / $902.79 / $3,288.48	Professional		$472.89	$902.79	$3,288.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.65 / $1,182.96 / $2,824.47	Facility		$812.65	$1,182.96	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.65 / $923.39 / $1,182.96	Professional		$618.65	$923.39	$1,182.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $551.87 / $751.16 / $883.67	Professional		$551.87	$751.16	$883.67
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $165.49 / $165.49 / $165.49	Professional	AS	$165.49	$165.49	$165.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.89 / $795.32 / $1,211.22	Professional		$472.89	$795.32	$1,211.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $876.60 / $1,072.59 / $1,072.59	Professional		$876.60	$1,072.59	$1,072.59