Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.31 / $496.31 / $3,073.00	Facility		$496.31	$496.31	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $492.32 / $3,981.45	Professional		$447.56	$492.32	$3,981.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.54 / $1,174.88 / $1,468.60	Professional		$902.54	$1,174.88	$1,468.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.09 / $813.02 / $1,300.42	Facility		$617.09	$813.02	$1,300.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $1,023.77 / $5,389.20	Professional		$483.30	$1,023.77	$5,389.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $949.91 / $1,263.65 / $2,173.59	Facility		$949.91	$1,263.65	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $750.22 / $1,030.79 / $1,353.52	Professional		$750.22	$1,030.79	$1,353.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $845.92 / $1,003.34	Professional		$615.26	$845.92	$1,003.34
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $185.57 / $185.57 / $185.57	Professional	80	$185.57	$185.57	$185.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $185.57 / $185.57 / $185.57	Professional	AS	$185.57	$185.57	$185.57
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 $448.02 / $975.02 / $1,390.26	Professional		$448.02	$975.02	$1,390.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,217.80 / $1,217.80	Professional		$995.40	$1,217.80	$1,217.80