Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.04 / $4,338.00 / $8,647.71	Facility		$975.04	$4,338.00	$8,647.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.09 / $70.09 / $223.64	Facility	53	$70.09	$70.09	$223.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $856.31 / $5,512.25	Professional		$306.80	$856.31	$5,512.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $1,961.87 / $2,698.61	Professional		$723.00	$1,961.87	$2,698.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.75 / $939.75 / $3,018.90	Facility		$462.75	$939.75	$3,018.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,306.25 / $2,903.75 / $7,664.36	Professional		$1,306.25	$2,903.75	$7,664.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $802.46 / $2,339.67 / $2,780.21	Facility		$802.46	$2,339.67	$2,780.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $716.15 / $1,770.43 / $2,754.58	Professional		$716.15	$1,770.43	$2,754.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $1,341.76 / $1,944.25	Professional		$541.10	$1,341.76	$1,944.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $393.91 / $393.91 / $393.91	Professional	AS	$393.91	$393.91	$393.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $6,295.00	Facility		$3,143.00	$3,143.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.68 / $1,950.28 / $3,033.77	Professional		$1,243.68	$1,950.28	$3,033.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $656.60 / $803.30 / $2,271.19	Professional		$656.60	$803.30	$2,271.19