Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $5,754.40	Facility		$724.44	$3,548.13	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,621.81	Professional		$676.08	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,089.30	Professional		$1,258.93	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,905.46	Facility		$891.25	$1,202.26	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $5,370.32	Professional		$676.08	$1,202.26	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,659.59	Professional		$1,513.56	$1,659.59	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Professional		$1,513.56	$1,513.56	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,445.44	Professional		$912.01	$1,258.93	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,995.26	Professional		$794.33	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Professional		$1,445.44	$1,698.24	$1,778.28