Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,073.80 / $6,760.83	Facility		$489.78	$4,073.80	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $3,388.44	Professional		$489.78	$724.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,089.30	Professional		$1,000.00	$1,445.44	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,737.80	Facility		$707.95	$1,023.29	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $5,248.07	Professional		$691.83	$1,513.56	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,737.80	Professional		$1,071.52	$1,148.15	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,698.24	Professional		$1,000.00	$1,096.48	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	80	$281.84	$281.84	$281.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
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 $630.96 / $1,047.13 / $1,995.26	Professional		$630.96	$1,047.13	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,659.59	Professional		$954.99	$1,174.90	$1,659.59