Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,548.13 / $9,772.37	Facility		$660.69	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,949.84	Professional		$575.44	$741.31	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,778.28	Facility		$812.83	$1,023.29	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $4,677.35	Professional		$575.44	$1,148.15	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,258.93	Professional		$660.69	$1,096.48	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	80	$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
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 $707.95 / $1,288.25 / $1,778.28	Professional		$707.95	$1,288.25	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Professional		$1,288.25	$1,513.56	$1,584.89