Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,365.16 / $7,079.46	Facility		$602.56	$4,365.16	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $4,365.16	Professional		$436.52	$691.83	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,737.80	Professional		$870.96	$1,288.25	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,380.38	Facility		$616.60	$933.25	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,202.26 / $4,466.84	Professional		$588.84	$1,202.26	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,380.38	Professional		$977.24	$1,023.29	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,348.96	Professional		$912.01	$1,000.00	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,148.15	Professional		$660.69	$891.25	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	80	$229.09	$229.09	$229.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	AS	$229.09	$229.09	$229.09
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 $524.81 / $912.01 / $1,621.81	Professional		$524.81	$912.01	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,380.38	Professional		$851.14	$1,047.13	$1,380.38