Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $19,498.45	Facility		$7,413.10	$12,022.64	$19,498.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility	50	$8,511.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,884.03 / $29,512.09	Professional		$1,122.02	$2,884.03	$29,512.09
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $125.89 / $331.13 / $776.25	Professional	AS	$125.89	$331.13	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,630.78	Professional		$2,398.83	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $21,877.62	Facility		$1,778.28	$2,691.53	$21,877.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $11,220.18	Professional		$1,445.44	$2,630.27	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,090.30	Professional		$2,818.38	$3,090.30	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,951.21	Professional		$2,818.38	$2,818.38	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,754.23	Professional		$1,698.24	$2,187.76	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	80	$512.86	$512.86	$512.86
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	AS	$512.86	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,715.35	Professional		$1,513.56	$2,398.83	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,019.95	Professional		$2,511.89	$2,951.21	$3,019.95