Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.92 / $760.92 / $4,770.37	Facility		$760.92	$760.92	$4,770.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $622.03 / $1,108.98	Professional		$565.49	$622.03	$1,108.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.49 / $1,565.21 / $1,956.51	Professional		$1,447.49	$1,565.21	$1,956.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $862.92 / $1,191.18 / $2,015.59	Facility		$862.92	$1,191.18	$2,015.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.94 / $1,466.85 / $5,349.84	Professional		$800.94	$1,466.85	$5,349.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,691.39 / $4,514.33	Facility		$1,051.00	$1,691.39	$4,514.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,447.49 / $2,009.93	Professional		$1,100.00	$1,447.49	$2,009.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $835.47 / $1,262.47 / $1,439.35	Professional		$835.47	$1,262.47	$1,439.35
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $281.83 / $281.83 / $281.83	Professional	80	$281.83	$281.83	$281.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.83 / $281.83 / $281.83	Professional	AS	$281.83	$281.83	$281.83
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 $800.94 / $1,479.96 / $2,016.36	Professional		$800.94	$1,479.96	$2,016.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,484.60 / $1,746.60 / $1,816.50	Professional		$1,484.60	$1,746.60	$1,816.50