Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $975.04 / $5,292.64	Facility		$52.95	$975.04	$5,292.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $673.83 / $6,559.86	Professional		$165.73	$673.83	$6,559.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $372.41 / $465.51	Professional		$338.42	$372.41	$465.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.52 / $380.56 / $1,224.81	Facility		$199.52	$380.56	$1,224.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $397.72 / $5,110.16	Professional		$187.24	$397.72	$5,110.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.89 / $397.72 / $1,089.00	Facility		$265.89	$397.72	$1,089.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $397.72 / $531.85	Professional		$265.89	$397.72	$531.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $295.89 / $382.44	Professional		$218.82	$295.89	$382.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $65.23 / $65.23 / $65.23	Professional	80	$65.23	$65.23	$65.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $65.23 / $65.23 / $65.23	Professional	AS	$65.23	$65.23	$65.23
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $339.54 / $475.86	Professional		$187.24	$339.54	$475.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $404.40 / $404.40	Professional		$330.50	$404.40	$404.40