Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $11,481.54	Facility		$1,412.54	$4,365.16	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $4,073.80	Professional		$1,230.27	$1,479.11	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $4,168.69	Professional		$3,019.95	$3,388.44	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,890.45	Facility		$1,659.59	$2,238.72	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $12,022.64	Professional		$1,348.96	$2,754.23	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,388.44	Professional		$2,754.23	$3,311.31	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,090.30	Professional		$2,754.23	$2,754.23	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $2,951.21	Professional		$1,737.80	$2,511.89	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	80	$575.44	$575.44	$575.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	AS	$575.44	$575.44	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $3,981.07	Professional		$1,348.96	$2,511.89	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,311.31	Professional		$2,691.53	$2,691.53	$3,311.31