Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $2,754.23 / $5,370.32	Facility		$70.79	$2,754.23	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $338.84	Professional		$70.79	$173.78	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $489.78	Professional		$141.25	$190.55	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $398.11	Facility		$95.50	$199.53	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,258.93	Professional		$173.78	$407.38	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $446.68	Professional		$151.36	$165.96	$446.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $331.13	Professional		$112.20	$223.87	$331.13
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	80	$74.13	$74.13	$74.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	AS	$74.13	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $446.68	Professional		$87.10	$194.98	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $416.87	Professional		$138.04	$169.82	$416.87