Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.84 / $1,055.81 / $1,798.97	Facility		$829.84	$1,055.81	$1,798.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.84 / $1,015.26 / $1,747.82	Professional		$829.84	$1,015.26	$1,747.82
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $168.30 / $168.30 / $168.30	Professional	AS	$168.30	$168.30	$168.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.22 / $2,444.42 / $3,083.29	Professional		$1,793.22	$2,444.42	$3,083.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,038.14 / $1,522.40 / $2,787.79	Facility		$1,038.14	$1,522.40	$2,787.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $2,445.21 / $8,026.00	Professional		$1,136.40	$2,445.21	$8,026.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.44 / $2,487.78 / $3,929.20	Facility		$1,621.44	$2,487.78	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,805.20 / $2,269.90 / $2,898.80	Professional		$1,805.20	$2,269.90	$2,898.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,157.25 / $1,698.11 / $2,112.13	Professional		$1,157.25	$1,698.11	$2,112.13
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $396.23 / $396.23 / $396.23	Professional	80	$396.23	$396.23	$396.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $396.23 / $396.23 / $396.23	Professional	AS	$396.23	$396.23	$396.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.67 / $1,902.96 / $2,999.64	Professional		$946.67	$1,902.96	$2,999.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,556.30 / $1,904.20 / $2,368.40	Professional		$1,556.30	$1,904.20	$2,368.40