Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,691.53 / $7,079.46	Facility		$407.38	$2,691.53	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,621.81	Professional		$389.05	$512.86	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,202.26	Professional		$724.44	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,071.52	Facility		$501.19	$676.08	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $3,090.30	Professional		$389.05	$691.83	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $831.76	Professional		$512.86	$707.95	$831.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	AS	$158.49	$158.49	$158.49
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 $446.68 / $741.31 / $1,148.15	Professional		$446.68	$741.31	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,000.00	Professional		$831.76	$977.24	$1,000.00