Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.93 / $190.93 / $4,620.05	Facility		$190.93	$190.93	$4,620.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $191.77 / $396.56	Professional		$190.93	$191.77	$396.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $436.30 / $545.37	Professional		$335.16	$436.30	$545.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $338.83 / $560.66	Facility		$258.52	$338.83	$560.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $418.64 / $3,668.75	Professional		$209.69	$418.64	$3,668.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $465.28 / $647.61	Facility		$310.76	$465.28	$647.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $442.46 / $562.05	Professional		$310.76	$442.46	$562.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $359.16 / $441.72	Professional		$260.02	$359.16	$441.72
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $79.40 / $79.40 / $79.40	Professional	80	$79.40	$79.40	$79.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $79.40 / $79.40 / $79.40	Professional	AS	$79.40	$79.40	$79.40
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 $219.29 / $398.70 / $555.58	Professional		$219.29	$398.70	$555.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $497.00 / $497.00	Professional		$406.20	$497.00	$497.00