Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.78 / $913.93 / $913.93	Facility		$518.78	$913.93	$913.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $667.00 / $1,404.39	Professional		$488.01	$667.00	$1,404.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.98 / $1,492.95 / $2,550.58	Professional		$1,068.98	$1,492.95	$2,550.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.26 / $1,218.89 / $1,899.48	Facility		$745.26	$1,218.89	$1,899.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.11 / $2,126.80 / $6,593.20	Professional		$803.11	$2,126.80	$6,593.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,143.35 / $1,914.84 / $3,711.03	Facility		$1,143.35	$1,914.84	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,068.98 / $1,385.00 / $2,367.16	Professional		$1,068.98	$1,385.00	$2,367.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $863.89 / $1,144.02 / $1,701.99	Professional		$863.89	$1,144.02	$1,701.99
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $338.71 / $338.71 / $338.71	Professional	80	$338.71	$338.71	$338.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $338.71 / $338.71 / $338.71	Professional	AS	$338.71	$338.71	$338.71
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 $803.11 / $1,669.48 / $2,596.96	Professional		$803.11	$1,669.48	$2,596.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,008.20 / $1,233.50 / $2,065.90	Professional		$1,008.20	$1,233.50	$2,065.90