Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.51 / $17,725.12 / $43,580.06	Facility		$1,317.51	$17,725.12	$43,580.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.51 / $1,417.94 / $24,798.39	Professional		$1,317.51	$1,417.94	$24,798.39
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $100.11 / $186.50 / $407.55	Professional	AS	$100.11	$186.50	$407.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,461.63 / $3,204.44 / $4,005.55	Professional		$2,461.63	$3,204.44	$4,005.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,870.58 / $2,396.32 / $3,819.55	Facility		$1,870.58	$2,396.32	$3,819.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,461.89 / $2,970.56 / $10,613.28	Professional		$1,461.89	$2,970.56	$10,613.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,629.14 / $3,829.81 / $34,121.94	Facility		$2,629.14	$3,829.81	$34,121.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,195.42 / $3,059.13 / $3,879.21	Professional		$2,195.42	$3,059.13	$3,879.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,786.67 / $2,439.73 / $2,829.54	Professional		$1,786.67	$2,439.73	$2,829.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $539.59 / $539.59 / $539.59	Professional	80	$539.59	$539.59	$539.59
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $539.59 / $539.59 / $539.59	Professional	AS	$539.59	$539.59	$539.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.01 / $2,553.41 / $3,971.97	Professional		$1,556.01	$2,553.41	$3,971.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,807.00 / $3,434.50 / $3,434.50	Professional		$2,807.00	$3,434.50	$3,434.50