Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $2,290.00 / $3,243.47	Facility		$87.80	$2,290.00	$3,243.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $261.38 / $577.61	Professional		$184.77	$261.38	$577.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $493.95 / $617.44	Professional		$411.21	$493.95	$617.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.86 / $408.17 / $2,000.00	Facility		$244.86	$408.17	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $586.01 / $2,196.12	Professional		$258.88	$586.01	$2,196.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $434.60 / $535.60 / $699.75	Facility		$434.60	$535.60	$699.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $333.46 / $482.54 / $600.04	Professional		$333.46	$482.54	$600.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $364.58 / $487.37	Professional		$243.91	$364.58	$487.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $81.59 / $81.59 / $81.59	Professional	AS	$81.59	$81.59	$81.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $442.06 / $612.25	Professional		$272.95	$442.06	$612.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $461.30 / $541.29	Professional		$377.00	$461.30	$541.29