Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.73 / $855.86 / $3,396.60	Facility		$508.73	$855.86	$3,396.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $664.80 / $1,308.63	Professional		$469.97	$664.80	$1,308.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.41 / $1,459.84 / $2,391.84	Professional		$1,037.41	$1,459.84	$2,391.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $732.63 / $1,110.15 / $1,910.59	Facility		$732.63	$1,110.15	$1,910.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.74 / $1,974.19 / $6,209.44	Professional		$745.74	$1,974.19	$6,209.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,124.44 / $1,804.21 / $10,415.91	Facility		$1,124.44	$1,804.21	$10,415.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,035.04 / $1,330.55 / $2,218.04	Professional		$1,035.04	$1,330.55	$2,218.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $821.22 / $1,077.19 / $1,603.67	Professional		$821.22	$1,077.19	$1,603.67
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $315.54 / $315.54 / $315.54	Professional	80	$315.54	$315.54	$315.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $315.54 / $315.54 / $315.54	Professional	AS	$315.54	$315.54	$315.54
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 $745.74 / $1,544.31 / $2,402.26	Professional		$745.74	$1,544.31	$2,402.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $991.50 / $1,213.09 / $1,946.50	Professional		$991.50	$1,213.09	$1,946.50