Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,786.30 / $11,220.18	Facility		$758.58	$4,786.30	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $2,290.87	Professional		$616.60	$851.14	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,995.26	Professional		$1,584.89	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,995.26	Facility		$933.25	$1,148.15	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $5,370.32	Professional		$660.69	$1,288.25	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Professional		$1,445.44	$1,445.44	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,445.44	Professional		$724.44	$1,258.93	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	80	$288.40	$288.40	$288.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	AS	$288.40	$288.40	$288.40
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 $794.33 / $1,445.44 / $1,995.26	Professional		$794.33	$1,445.44	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Professional		$1,479.11	$1,737.80	$1,819.70