Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,073.80 / $7,943.28	Facility		$977.24	$4,073.80	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,380.38 / $5,495.41	Professional		$562.34	$1,380.38	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,819.70	Professional		$1,445.44	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,090.30	Facility		$776.25	$1,479.11	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $4,786.30	Professional		$588.84	$1,148.15	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,445.44	Professional		$1,348.96	$1,445.44	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,288.25	Professional		$707.95	$1,096.48	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	80	$251.19	$251.19	$251.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	AS	$251.19	$251.19	$251.19
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 $691.83 / $1,230.27 / $1,737.80	Professional		$691.83	$1,230.27	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Professional		$1,174.90	$1,380.38	$1,445.44