Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.79 / $322.79 / $2,290.00	Facility		$322.79	$322.79	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $331.13 / $907.68	Professional		$275.12	$331.13	$907.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.75 / $753.39 / $941.74	Professional		$578.75	$753.39	$941.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.52 / $545.52 / $840.37	Facility		$432.52	$545.52	$840.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.12 / $667.55 / $3,232.86	Professional		$317.12	$667.55	$3,232.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $612.16 / $813.03 / $2,173.59	Facility		$612.16	$813.03	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $664.79 / $865.16	Professional		$492.37	$664.79	$865.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $389.16 / $546.60 / $643.02	Professional		$389.16	$546.60	$643.02
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $118.78 / $118.78 / $118.78	Professional	80	$118.78	$118.78	$118.78
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $118.78 / $118.78 / $118.78	Professional	AS	$118.78	$118.78	$118.78
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 $349.67 / $635.76 / $901.88	Professional		$349.67	$635.76	$901.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $637.90 / $780.50 / $780.50	Professional		$637.90	$780.50	$780.50