Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $4,365.16 / $11,748.98	Facility		$467.74	$4,365.16	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,348.96	Professional		$436.52	$660.69	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,949.84	Professional		$977.24	$1,380.38	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,513.56	Facility		$660.69	$1,000.00	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,230.27 / $4,897.79	Professional		$588.84	$1,230.27	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,513.56	Professional		$1,047.13	$1,071.52	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,479.11	Professional		$954.99	$1,023.29	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,288.25	Professional		$691.83	$977.24	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	80	$251.19	$251.19	$251.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,778.28	Professional		$562.34	$977.24	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,548.82	Professional		$912.01	$1,122.02	$1,548.82