Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.21 / $4,338.00 / $7,019.76	Facility		$596.21	$4,338.00	$7,019.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $899.59 / $2,777.40	Professional		$596.21	$899.59	$2,777.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.91 / $1,717.92 / $2,909.94	Professional		$1,248.91	$1,717.92	$2,909.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.55 / $1,391.97 / $2,384.02	Facility		$858.55	$1,391.97	$2,384.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $947.70 / $2,352.38 / $7,524.00	Professional		$947.70	$2,352.38	$7,524.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,364.72 / $2,192.13 / $10,520.55	Facility		$1,364.72	$2,192.13	$10,520.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,212.61 / $1,582.91 / $2,685.37	Professional		$1,212.61	$1,582.91	$2,685.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $994.44 / $1,291.49 / $1,948.46	Professional		$994.44	$1,291.49	$1,948.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $375.64 / $375.64 / $375.64	Professional	80	$375.64	$375.64	$375.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $375.64 / $375.64 / $375.64	Professional	AS	$375.64	$375.64	$375.64
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 $892.68 / $2,021.88 / $2,879.27	Professional		$892.68	$2,021.88	$2,879.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,166.09 / $1,426.70 / $2,365.00	Professional		$1,166.09	$1,426.70	$2,365.00