Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.79 / $356.79 / $2,290.00	Facility		$356.79	$356.79	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $316.81 / $517.16	Professional		$308.27	$316.81	$517.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.78 / $840.65 / $1,050.81	Professional		$645.78	$840.65	$1,050.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.84 / $571.27 / $966.90	Facility		$442.84	$571.27	$966.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $745.94 / $4,131.06	Professional		$347.36	$745.94	$4,131.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $911.90 / $2,173.59	Facility		$646.00	$911.90	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $747.06 / $953.51	Professional		$527.00	$747.06	$953.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $438.40 / $626.89 / $737.47	Professional		$438.40	$626.89	$737.47
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $131.91 / $131.91 / $131.91	Professional	80	$131.91	$131.91	$131.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $131.91 / $131.91 / $131.91	Professional	AS	$131.91	$131.91	$131.91
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 $327.25 / $637.45 / $991.59	Professional		$327.25	$637.45	$991.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $731.60 / $895.10 / $895.10	Professional		$731.60	$895.10	$895.10