Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.11 / $3,513.56 / $3,513.56	Facility		$262.11	$3,513.56	$3,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $2,733.64 / $4,219.64	Professional		$230.93	$2,733.64	$4,219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.85 / $706.06 / $8,760.98	Professional		$564.85	$706.06	$8,760.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.35 / $2,851.74 / $5,937.92	Facility		$307.35	$2,851.74	$5,937.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,370.54 / $8,500.57 / $22,772.24	Professional		$4,370.54	$8,500.57	$22,772.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $627.65 / $5,441.84 / $8,778.69	Facility		$627.65	$5,441.84	$8,778.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $5,730.57 / $8,778.69	Professional		$556.04	$5,730.57	$8,778.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $368.48 / $3,240.29 / $5,714.07	Professional		$368.48	$3,240.29	$5,714.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,371.94 / $1,371.94 / $1,371.94	Professional	AS	$1,371.94	$1,371.94	$1,371.94
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 $4,370.54 / $6,607.75 / $10,278.71	Professional		$4,370.54	$6,607.75	$10,278.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $470.80 / $576.10 / $6,660.10	Professional		$470.80	$576.10	$6,660.10