Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.05 / $3,153.23 / $6,107.04	Facility		$90.05	$3,153.23	$6,107.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $202.92 / $1,518.93	Professional		$80.56	$202.92	$1,518.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $1,527.01 / $2,625.57	Professional		$167.80	$1,527.01	$2,625.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $853.22 / $2,445.40	Facility		$123.57	$853.22	$2,445.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,392.77 / $2,924.82 / $6,834.64	Professional		$1,392.77	$2,924.82	$6,834.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.73 / $1,935.95 / $3,011.47	Facility		$205.73	$1,935.95	$3,011.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $1,935.95 / $2,846.65	Professional		$189.95	$1,935.95	$2,846.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $1,246.88 / $1,821.19	Professional		$125.88	$1,246.88	$1,821.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $460.45 / $460.45 / $460.45	Professional	80	$460.45	$460.45	$460.45
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $460.45 / $460.45 / $460.45	Professional	AS	$460.45	$460.45	$460.45
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.39 / $2,147.36 / $3,340.34	Professional		$220.39	$2,147.36	$3,340.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $213.10 / $2,171.60	Professional		$174.20	$213.10	$2,171.60