Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.31 / $949.31 / $949.31	Facility		$949.31	$949.31	$949.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.98 / $949.31 / $5,621.40	Professional		$824.98	$949.31	$5,621.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,855.67 / $2,042.02 / $2,552.53	Professional		$1,855.67	$2,042.02	$2,552.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.83 / $1,316.22 / $2,522.27	Facility		$778.83	$1,316.22	$2,522.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $826.31 / $1,615.66 / $2,829.47	Professional		$826.31	$1,615.66	$2,829.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,672.93 / $2,078.98 / $3,141.50	Facility		$1,672.93	$2,078.98	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,385.16 / $2,091.44 / $2,362.35	Professional		$1,385.16	$2,091.44	$2,362.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $993.16 / $1,478.35 / $1,716.23	Professional		$993.16	$1,478.35	$1,716.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $329.57 / $329.57 / $329.57	Professional	80	$329.57	$329.57	$329.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $329.57 / $329.57 / $329.57	Professional	AS	$329.57	$329.57	$329.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $987.48 / $1,619.75 / $2,513.25	Professional		$987.48	$1,619.75	$2,513.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,672.60 / $2,046.40 / $2,046.40	Professional		$1,672.60	$2,046.40	$2,046.40