Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.36 / $705.79 / $4,035.46	Facility		$465.36	$705.79	$4,035.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.70 / $681.23 / $3,510.00	Professional		$472.70	$681.23	$3,510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,335.18 / $1,981.84	Professional		$954.20	$1,335.18	$1,981.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.60 / $999.30 / $1,651.91	Facility		$667.60	$999.30	$1,651.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.15 / $1,694.26 / $5,127.76	Professional		$759.15	$1,694.26	$5,127.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,074.09 / $1,499.27 / $3,711.03	Facility		$1,074.09	$1,499.27	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,219.96 / $1,828.01	Professional		$954.20	$1,219.96	$1,828.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $681.01 / $929.38 / $1,332.61	Professional		$681.01	$929.38	$1,332.61
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $271.02 / $271.02 / $271.02	Professional	80	$271.02	$271.02	$271.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $271.02 / $271.02 / $271.02	Professional	AS	$271.02	$271.02	$271.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.26 / $1,305.52 / $2,030.81	Professional		$671.26	$1,305.52	$2,030.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.20 / $1,108.70 / $1,617.50	Professional		$906.20	$1,108.70	$1,617.50