Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.42 / $4,338.00 / $11,491.76	Facility		$1,403.42	$4,338.00	$11,491.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,380.81 / $2,604.50	Professional		$1,209.49	$1,380.81	$2,604.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,994.84 / $3,295.59 / $4,119.49	Professional		$2,994.84	$3,295.59	$4,119.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,756.50 / $2,256.41 / $3,883.19	Facility		$1,756.50	$2,256.41	$3,883.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,464.67 / $3,406.91 / $12,056.47	Professional		$1,464.67	$3,406.91	$12,056.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,587.00 / $3,363.94 / $4,641.64	Facility		$2,587.00	$3,363.94	$4,641.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $3,299.11 / $4,022.12	Professional		$1,992.00	$3,299.11	$4,022.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,838.08 / $2,485.58 / $2,932.40	Professional		$1,838.08	$2,485.58	$2,932.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $559.41 / $559.41 / $559.41	Professional	80	$559.41	$559.41	$559.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $559.41 / $559.41 / $559.41	Professional	AS	$559.41	$559.41	$559.41
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 $1,601.46 / $2,639.59 / $4,106.03	Professional		$1,601.46	$2,639.59	$4,106.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,687.50 / $3,161.80 / $3,288.20	Professional		$2,687.50	$3,161.80	$3,288.20