Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $1,865.44 / $1,865.44	Facility		$162.13	$1,865.44	$1,865.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,453.12 / $2,941.01	Professional		$158.83	$1,453.12	$2,941.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.37 / $486.80 / $4,662.91	Professional		$351.37	$486.80	$4,662.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $1,519.25 / $4,161.93	Facility		$190.19	$1,519.25	$4,161.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,380.64 / $4,435.51 / $12,112.80	Professional		$2,380.64	$4,435.51	$12,112.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $4,007.61 / $5,330.05	Facility		$387.55	$4,007.61	$5,330.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $3,047.79 / $4,659.85	Professional		$344.97	$3,047.79	$4,659.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $2,405.83 / $3,386.63	Professional		$260.64	$2,405.83	$3,386.63
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $715.89 / $715.89 / $715.89	Professional	80	$715.89	$715.89	$715.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $715.89 / $715.89 / $715.89	Professional	AS	$715.89	$715.89	$715.89
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 $2,253.14 / $3,462.84 / $5,386.64	Professional		$2,253.14	$3,462.84	$5,386.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $292.10 / $357.40 / $3,547.60	Professional		$292.10	$357.40	$3,547.60