Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.36 / $348.36 / $3,073.00	Facility		$348.36	$348.36	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $363.73 / $531.59	Professional		$277.83	$363.73	$531.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.30 / $751.83 / $939.79	Professional		$669.30	$751.83	$939.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.84 / $622.91 / $959.53	Facility		$466.84	$622.91	$959.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.35 / $743.30 / $13,506.61	Professional		$389.35	$743.30	$13,506.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $619.03 / $958.58 / $61,761.92	Facility		$619.03	$958.58	$61,761.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $547.42 / $776.00 / $958.58	Professional		$547.42	$776.00	$958.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.77 / $602.15 / $728.22	Professional		$449.77	$602.15	$728.22
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $133.84 / $133.84 / $133.84	Professional	80	$133.84	$133.84	$133.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $133.84 / $133.84 / $133.84	Professional	AS	$133.84	$133.84	$133.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,865.00 / $7,865.00 / $7,865.00	Facility		$7,865.00	$7,865.00	$7,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.74 / $663.80 / $982.13	Professional		$424.74	$663.80	$982.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $659.70 / $807.20 / $807.20	Professional		$659.70	$807.20	$807.20