Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.65 / $238.65 / $2,290.00	Facility		$238.65	$238.65	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.65 / $265.49 / $702.21	Professional		$238.65	$265.49	$702.21
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $16.22 / $29.39 / $63.86	Professional	AS	$16.22	$29.39	$63.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.61 / $533.67 / $667.10	Professional		$428.61	$533.67	$667.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.17 / $377.74 / $569.51	Facility		$289.17	$377.74	$569.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.13 / $513.79 / $1,822.88	Professional		$269.13	$513.79	$1,822.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $381.27 / $563.30 / $793.59	Facility		$381.27	$563.30	$793.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $381.27 / $563.30 / $689.37	Professional		$381.27	$563.30	$689.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $318.23 / $436.47 / $500.70	Professional		$318.23	$436.47	$500.70
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $97.16 / $97.16 / $97.16	Professional	80	$97.16	$97.16	$97.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $97.16 / $97.16 / $97.16	Professional	AS	$97.16	$97.16	$97.16
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 $269.13 / $452.62 / $680.71	Professional		$269.13	$452.62	$680.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.70 / $607.70 / $607.70	Professional		$496.70	$607.70	$607.70