Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.02 / $674.46 / $6,696.86	Facility		$471.02	$674.46	$6,696.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $607.63 / $1,214.36	Professional		$433.23	$607.63	$1,214.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.32 / $1,344.92 / $1,892.24	Professional		$964.32	$1,344.92	$1,892.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $673.04 / $953.23 / $1,545.47	Facility		$673.04	$953.23	$1,545.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $1,525.38 / $4,899.60	Professional		$666.00	$1,525.38	$4,899.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,037.83 / $1,437.39 / $3,711.03	Facility		$1,037.83	$1,437.39	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $964.32 / $1,235.75 / $1,754.29	Professional		$964.32	$1,235.75	$1,754.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.50 / $922.48 / $1,277.63	Professional		$658.50	$922.48	$1,277.63
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $245.02 / $245.02 / $245.02	Professional	80	$245.02	$245.02	$245.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $245.02 / $245.02 / $245.02	Professional	AS	$245.02	$245.02	$245.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.89 / $1,199.02 / $1,865.14	Professional		$588.89	$1,199.02	$1,865.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $915.10 / $1,119.70 / $1,550.80	Professional		$915.10	$1,119.70	$1,550.80