Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.25 / $6,872.40 / $10,754.64	Facility		$543.25	$6,872.40	$10,754.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.25 / $1,548.54 / $7,033.46	Professional		$543.25	$1,548.54	$7,033.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.42 / $1,237.21 / $1,546.51	Professional		$950.42	$1,237.21	$1,546.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.68 / $995.19 / $5,788.15	Facility		$709.68	$995.19	$5,788.15
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,907.34 / $7,907.34 / $7,907.34	Facility	50	$7,907.34	$7,907.34	$7,907.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $1,110.23 / $5,283.53	Professional		$581.54	$1,110.23	$5,283.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,396.75 / $3,711.03	Facility		$1,002.07	$1,396.75	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $814.20 / $1,189.53 / $1,460.79	Professional		$814.20	$1,189.53	$1,460.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $670.12 / $915.03 / $1,076.44	Professional		$670.12	$915.03	$1,076.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $200.37 / $200.37 / $200.37	Professional	80	$200.37	$200.37	$200.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $200.37 / $200.37 / $200.37	Professional	AS	$200.37	$200.37	$200.37
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 $581.54 / $978.06 / $1,489.54	Professional		$581.54	$978.06	$1,489.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,067.90 / $1,306.59 / $1,306.59	Professional		$1,067.90	$1,306.59	$1,306.59