Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.75 / $540.75 / $10,263.62	Facility		$540.75	$540.75	$10,263.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $639.99 / $1,991.82	Professional		$508.63	$639.99	$1,991.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.56 / $1,329.92 / $1,662.40	Professional		$1,208.56	$1,329.92	$1,662.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $680.88 / $909.03 / $1,352.68	Facility		$680.88	$909.03	$1,352.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.85 / $1,061.99 / $4,381.43	Professional		$606.85	$1,061.99	$4,381.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,453.00 / $2,929.96	Facility		$902.00	$1,453.00	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,213.39 / $1,585.31	Professional		$826.00	$1,213.39	$1,585.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $642.54 / $908.93 / $1,147.59	Professional		$642.54	$908.93	$1,147.59
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $199.47 / $199.47 / $199.47	Professional	AS	$199.47	$199.47	$199.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.85 / $1,011.42 / $1,533.36	Professional		$606.85	$1,011.42	$1,533.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,315.80 / $1,368.40	Professional		$1,118.40	$1,315.80	$1,368.40