Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.77 / $1,206.77 / $4,338.00	Facility		$1,206.77	$1,206.77	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.77 / $1,556.06 / $6,120.90	Professional		$1,206.77	$1,556.06	$6,120.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,356.92 / $2,593.62 / $3,242.03	Professional		$2,356.92	$2,593.62	$3,242.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.82 / $1,512.54 / $3,235.60	Facility		$853.82	$1,512.54	$3,235.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.28 / $2,063.11 / $3,282.08	Professional		$1,067.28	$2,063.11	$3,282.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,129.79 / $2,646.73 / $3,444.47	Facility		$2,129.79	$2,646.73	$3,444.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $2,677.65 / $3,121.89	Professional		$1,775.00	$2,677.65	$3,121.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.57 / $1,877.12 / $2,185.23	Professional		$1,318.57	$1,877.12	$2,185.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $421.45 / $421.45 / $421.45	Professional	80	$421.45	$421.45	$421.45
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $421.45 / $421.45 / $421.45	Professional	AS	$421.45	$421.45	$421.45
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 $1,272.48 / $2,063.11 / $3,209.28	Professional		$1,272.48	$2,063.11	$3,209.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,129.60 / $2,605.69 / $2,605.69	Professional		$2,129.60	$2,605.69	$2,605.69