Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,862.09 / $4,365.16	Facility		$162.18	$1,862.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,584.89 / $3,388.44	Professional		$158.49	$1,584.89	$3,388.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional	50	$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,388.44 / $4,786.30	Professional		$363.08	$3,388.44	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,089.30 / $4,168.69	Facility		$199.53	$2,089.30	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,548.13 / $12,022.64	Professional		$363.08	$3,548.13	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $4,466.84	Professional		$346.74	$363.08	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $3,890.45	Professional		$323.59	$323.59	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,511.89 / $3,467.37	Professional		$263.03	$2,511.89	$3,467.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	80	$741.31	$741.31	$741.31
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	AS	$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $5,128.61	Professional		$208.93	$446.68	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $3,548.13	Professional		$295.12	$354.81	$3,548.13