Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.40 / $5,660.68 / $8,473.20	Facility		$593.40	$5,660.68	$8,473.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.57 / $796.57 / $7,113.73	Professional		$576.57	$796.57	$7,113.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.00 / $1,348.62 / $1,685.78	Professional		$1,036.00	$1,348.62	$1,685.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.65 / $1,025.78 / $1,620.27	Facility		$776.65	$1,025.78	$1,620.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $1,215.11 / $4,528.97	Professional		$580.66	$1,215.11	$4,528.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,462.97 / $3,711.03	Facility		$1,089.00	$1,462.97	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $937.38 / $1,301.23 / $1,596.48	Professional		$937.38	$1,301.23	$1,596.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $734.02 / $1,029.27 / $1,175.42	Professional		$734.02	$1,029.27	$1,175.42
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $228.81 / $228.81 / $228.81	Professional	80	$228.81	$228.81	$228.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $228.81 / $228.81 / $228.81	Professional	AS	$228.81	$228.81	$228.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.17 / $1,109.70 / $1,726.20	Professional		$609.17	$1,109.70	$1,726.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,166.09 / $1,426.70 / $1,426.70	Professional		$1,166.09	$1,426.70	$1,426.70