Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.41 / $2,703.13 / $4,338.00	Facility		$412.41	$2,703.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.12 / $412.41 / $1,616.24	Professional		$392.12	$412.41	$1,616.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.19 / $938.82 / $1,173.52	Professional		$721.19	$938.82	$1,173.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.20 / $662.68 / $1,083.18	Facility		$500.20	$662.68	$1,083.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $846.01 / $3,090.16	Professional		$443.15	$846.01	$3,090.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.05 / $1,112.08 / $2,824.47	Facility		$764.05	$1,112.08	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $867.17 / $1,128.38	Professional		$577.04	$867.17	$1,128.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $707.72 / $832.56	Professional		$518.09	$707.72	$832.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $155.19 / $155.19 / $155.19	Professional	AS	$155.19	$155.19	$155.19
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 $443.15 / $732.49 / $1,139.43	Professional		$443.15	$732.49	$1,139.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $825.90 / $1,010.60 / $1,010.60	Professional		$825.90	$1,010.60	$1,010.60