Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.29 / $1,255.29 / $4,338.00	Facility		$1,255.29	$1,255.29	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.29 / $1,378.00 / $3,729.60	Professional		$1,255.29	$1,378.00	$3,729.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,453.92 / $2,700.36 / $3,375.45	Professional		$2,453.92	$2,700.36	$3,375.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.14 / $1,739.25 / $4,500.00	Facility		$1,029.14	$1,739.25	$4,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,110.96 / $2,271.36 / $3,767.91	Professional		$1,110.96	$2,271.36	$3,767.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,216.54 / $2,934.93 / $3,585.26	Facility		$2,216.54	$2,934.93	$3,585.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,849.65 / $2,788.99 / $3,305.26	Professional		$1,849.65	$2,788.99	$3,305.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,387.89 / $1,996.11 / $2,657.38	Professional		$1,387.89	$1,996.11	$2,657.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $438.83 / $438.83 / $438.83	Professional	80	$438.83	$438.83	$438.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $438.83 / $438.83 / $438.83	Professional	AS	$438.83	$438.83	$438.83
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 $1,434.54 / $2,390.90 / $3,342.14	Professional		$1,434.54	$2,390.90	$3,342.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,217.90 / $2,713.70 / $2,713.70	Professional		$2,217.90	$2,713.70	$2,713.70