Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.11 / $491.43 / $7,053.10	Facility		$343.11	$491.43	$7,053.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $467.74 / $882.25	Professional		$316.24	$467.74	$882.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.04 / $967.06 / $1,355.63	Professional		$703.04	$967.06	$1,355.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.77 / $690.75 / $1,158.71	Facility		$487.77	$690.75	$1,158.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.66 / $1,158.71 / $3,560.00	Professional		$562.66	$1,158.71	$3,560.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $781.21 / $1,067.86 / $2,824.47	Facility		$781.21	$1,067.86	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.46 / $920.30 / $1,289.85	Professional		$717.46	$920.30	$1,289.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $493.39 / $681.49 / $914.07	Professional		$493.39	$681.49	$914.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $185.18 / $185.18 / $185.18	Professional	AS	$185.18	$185.18	$185.18
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 $510.51 / $902.66 / $1,404.14	Professional		$510.51	$902.66	$1,404.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $803.30 / $1,109.50	Professional		$656.50	$803.30	$1,109.50