Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $4,307.01 / $6,970.01	Facility		$131.21	$4,307.01	$6,970.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $135.38 / $263.50	Professional		$123.07	$135.38	$263.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $293.51 / $363.26	Professional		$290.57	$293.51	$363.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $221.74 / $3,394.26	Facility		$156.06	$221.74	$3,394.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $261.77 / $987.52	Professional		$157.07	$261.77	$987.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $327.52 / $425.47	Facility		$205.30	$327.52	$425.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $299.12 / $365.11	Professional		$242.59	$299.12	$365.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $231.50 / $265.88	Professional		$172.99	$231.50	$265.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $51.48 / $51.48 / $51.48	Professional	80	$51.48	$51.48	$51.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $51.48 / $51.48 / $51.48	Professional	AS	$51.48	$51.48	$51.48
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 $174.41 / $274.87 / $368.93	Professional		$174.41	$274.87	$368.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $304.80 / $317.00	Professional		$259.10	$304.80	$317.00