Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.46 / $713.53 / $5,785.98	Facility		$489.46	$713.53	$5,785.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $729.75 / $1,509.07	Professional		$489.46	$729.75	$1,509.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.46 / $1,414.07 / $2,021.76	Professional		$1,005.46	$1,414.07	$2,021.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $706.08 / $1,017.95 / $1,726.36	Facility		$706.08	$1,017.95	$1,726.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $1,726.36 / $5,229.43	Professional		$787.50	$1,726.36	$5,229.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $1,524.74 / $3,711.03	Facility		$1,081.51	$1,524.74	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.46 / $1,277.73 / $1,843.27	Professional		$1,005.46	$1,277.73	$1,843.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $716.70 / $978.67 / $1,355.26	Professional		$716.70	$978.67	$1,355.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $275.01 / $275.01 / $275.01	Professional	80	$275.01	$275.01	$275.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.01 / $275.01 / $275.01	Professional	AS	$275.01	$275.01	$275.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.46 / $1,428.53 / $2,064.96	Professional		$835.46	$1,428.53	$2,064.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.60 / $1,166.80 / $1,645.00	Professional		$953.60	$1,166.80	$1,645.00