Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.24 / $8,110.53 / $9,000.00	Facility		$563.24	$8,110.53	$9,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $1,206.54 / $5,216.39	Professional		$563.24	$1,206.54	$5,216.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.93 / $1,280.83 / $1,601.05	Professional		$983.93	$1,280.83	$1,601.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.26 / $1,067.88 / $1,468.42	Facility		$736.26	$1,067.88	$1,468.42
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $8,330.52 / $8,330.52 / $8,330.52	Facility	50	$8,330.52	$8,330.52	$8,330.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $1,153.01 / $6,386.47	Professional		$603.96	$1,153.01	$6,386.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,039.13 / $1,492.60 / $3,711.03	Facility		$1,039.13	$1,492.60	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $846.03 / $1,235.35 / $1,514.50	Professional		$846.03	$1,235.35	$1,514.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $696.32 / $949.13 / $1,124.72	Professional		$696.32	$949.13	$1,124.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $207.96 / $207.96 / $207.96	Professional	AS	$207.96	$207.96	$207.96
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 $603.96 / $1,098.09 / $1,545.32	Professional		$603.96	$1,098.09	$1,545.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,355.30 / $1,355.30	Professional		$1,107.70	$1,355.30	$1,355.30