Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $3,929.60 / $6,488.60	Facility		$391.09	$3,929.60	$6,488.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $517.86 / $1,552.16	Professional		$347.68	$517.86	$1,552.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.11 / $1,125.80 / $1,647.80	Professional		$793.11	$1,125.80	$1,647.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $802.01 / $1,346.49	Facility		$562.66	$802.01	$1,346.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.25 / $1,323.63 / $4,256.47	Professional		$551.25	$1,323.63	$4,256.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.18 / $1,244.54 / $3,711.03	Facility		$867.18	$1,244.54	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $793.11 / $1,021.82 / $1,515.24	Professional		$793.11	$1,021.82	$1,515.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $572.49 / $767.87 / $1,106.20	Professional		$572.49	$767.87	$1,106.20
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $211.56 / $211.56 / $211.56	Professional	80	$211.56	$211.56	$211.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $211.56 / $211.56 / $211.56	Professional	AS	$211.56	$211.56	$211.56
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 $504.01 / $1,041.85 / $1,620.67	Professional		$504.01	$1,041.85	$1,620.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $761.80 / $932.00 / $1,342.70	Professional		$761.80	$932.00	$1,342.70