Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,897.79 / $7,943.28	Facility		$794.33	$4,897.79	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $11,481.54	Professional		$575.44	$1,202.26	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,290.87	Professional		$1,148.15	$1,698.24	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,862.09	Facility		$831.76	$1,230.27	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,621.81 / $5,754.40	Professional		$741.31	$1,621.81	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,862.09	Professional		$1,288.25	$1,348.96	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,819.70	Professional		$1,202.26	$1,318.26	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,513.56	Professional		$851.14	$1,202.26	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	80	$309.03	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,137.96	Professional		$707.95	$1,230.27	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,819.70	Professional		$1,122.02	$1,380.38	$1,819.70