Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.84 / $6,696.86 / $8,625.00	Facility		$1,773.84	$6,696.86	$8,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $2,467.08 / $9,905.18	Professional		$989.35	$2,467.08	$9,905.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,837.40 / $2,391.84 / $2,989.80	Professional		$1,837.40	$2,391.84	$2,989.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,389.77 / $1,785.96 / $2,775.92	Facility		$1,389.77	$1,785.96	$2,775.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $2,171.84 / $7,887.28	Professional		$1,062.39	$2,171.84	$7,887.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,602.62 / $2,615.75 / $8,250.46	Facility		$1,602.62	$2,615.75	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,602.62 / $2,233.38 / $2,872.38	Professional		$1,602.62	$2,233.38	$2,872.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,301.33 / $1,785.53 / $2,100.48	Professional		$1,301.33	$1,785.53	$2,100.48
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $390.70 / $390.70 / $390.70	Professional	80	$390.70	$390.70	$390.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $390.70 / $390.70 / $390.70	Professional	AS	$390.70	$390.70	$390.70
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 $1,137.63 / $2,147.69 / $2,933.17	Professional		$1,137.63	$2,147.69	$2,933.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,083.80 / $2,549.50 / $2,549.50	Professional		$2,083.80	$2,549.50	$2,549.50