Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $1,058.19 / $10,875.15	Facility		$606.48	$1,058.19	$10,875.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $837.89 / $7,390.80	Professional		$549.97	$837.89	$7,390.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.04 / $1,720.84 / $2,913.83	Professional		$1,251.04	$1,720.84	$2,913.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $865.92 / $1,329.83 / $2,150.71	Facility		$865.92	$1,329.83	$2,150.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $928.87 / $2,431.71 / $7,591.84	Professional		$928.87	$2,431.71	$7,591.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,159.55 / $2,007.71 / $23,076.77	Facility		$1,159.55	$2,007.71	$23,076.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,225.83 / $1,613.10 / $2,443.51	Professional		$1,225.83	$1,613.10	$2,443.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $964.37 / $1,309.08 / $1,952.34	Professional		$964.37	$1,309.08	$1,952.34
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $389.54 / $389.54 / $389.54	Professional	80	$389.54	$389.54	$389.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $389.54 / $389.54 / $389.54	Professional	AS	$389.54	$389.54	$389.54
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 $928.87 / $1,922.27 / $2,990.20	Professional		$928.87	$1,922.27	$2,990.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,169.90 / $1,431.40 / $2,369.69	Professional		$1,169.90	$1,431.40	$2,369.69