Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,365.16 / $4,897.79	Facility		$660.69	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $5,370.32	Professional		$660.69	$1,000.00	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,819.70	Professional		$1,288.25	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $3,630.78	Facility		$467.74	$831.76	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,951.21	Professional		$812.83	$1,513.56	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $2,187.76	Professional		$1,348.96	$2,187.76	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,584.89	Professional		$831.76	$1,202.26	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	80	$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,630.27	Professional		$933.25	$1,348.96	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Professional		$1,174.90	$1,380.38	$1,445.44