Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.36 / $7,585.56 / $20,504.73	Facility		$476.36	$7,585.56	$20,504.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $512.55 / $6,116.24	Professional		$465.97	$512.55	$6,116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.61 / $1,145.28 / $1,431.60	Professional		$832.61	$1,145.28	$1,431.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.19 / $805.05 / $1,437.58	Facility		$514.19	$805.05	$1,437.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $574.39 / $998.32 / $4,067.23	Professional		$574.39	$998.32	$4,067.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $775.11 / $1,264.72 / $3,960.15	Facility		$775.11	$1,264.72	$3,960.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $1,160.09 / $1,409.79	Professional		$744.00	$1,160.09	$1,409.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $641.38 / $870.88 / $1,031.16	Professional		$641.38	$870.88	$1,031.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $193.93 / $193.93 / $193.93	Professional	80	$193.93	$193.93	$193.93
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $193.93 / $193.93 / $193.93	Professional	AS	$193.93	$193.93	$193.93
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 $468.72 / $907.87 / $1,412.24	Professional		$468.72	$907.87	$1,412.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,022.90 / $1,251.59 / $1,251.59	Professional		$1,022.90	$1,251.59	$1,251.59