Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,290.87 / $4,365.16	Facility		$354.81	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $870.96	Professional		$316.23	$363.08	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,071.52	Professional		$645.65	$851.14	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $977.24	Facility		$446.68	$602.56	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $4,168.69	Professional		$316.23	$602.56	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $831.76	Professional		$741.31	$812.83	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $794.33	Professional		$741.31	$741.31	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $741.31	Professional		$371.54	$630.96	$741.31
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	80	$134.90	$134.90	$134.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	AS	$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $1,000.00	Professional		$389.05	$660.69	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $891.25	Professional		$724.44	$851.14	$891.25