Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,981.07 / $5,495.41	Facility		$131.83	$3,981.07	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $436.52	Professional		$123.03	$213.80	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $371.54	Professional		$295.12	$295.12	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $3,890.45	Facility		$158.49	$302.00	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $977.24	Professional		$123.03	$239.88	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $309.03	Professional		$288.40	$302.00	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $263.03	Professional		$177.83	$234.42	$263.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	80	$52.48	$52.48	$52.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	AS	$52.48	$52.48	$52.48
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 $158.49 / $245.47 / $363.08	Professional		$158.49	$245.47	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $316.23	Professional		$257.04	$302.00	$316.23