Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.66 / $429.66 / $8,023.41	Facility		$429.66	$429.66	$8,023.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $412.16 / $694.74	Professional		$412.16	$412.16	$694.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.89 / $975.43 / $1,219.29	Professional		$960.89	$975.43	$1,219.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.83 / $613.16 / $1,159.14	Facility		$518.83	$613.16	$1,159.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $843.72 / $3,228.96	Professional		$473.90	$843.72	$3,228.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $653.39 / $1,166.26 / $2,197.38	Facility		$653.39	$1,166.26	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $653.39 / $979.61 / $1,166.26	Professional		$653.39	$979.61	$1,166.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $548.38 / $740.17 / $870.73	Professional		$548.38	$740.17	$870.73
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $163.18 / $163.18 / $163.18	Professional	AS	$163.18	$163.18	$163.18
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 $506.23 / $989.37 / $1,191.48	Professional		$506.23	$989.37	$1,191.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $1,016.20 / $1,056.90	Professional		$863.80	$1,016.20	$1,056.90