Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.70 / $1,403.70 / $4,338.00	Facility		$1,403.70	$1,403.70	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.70 / $1,493.04 / $2,816.19	Professional		$1,403.70	$1,493.04	$2,816.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,740.67 / $3,015.90 / $3,769.87	Professional		$2,740.67	$3,015.90	$3,769.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $992.69 / $1,759.39 / $4,604.91	Facility		$992.69	$1,759.39	$4,604.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,240.85 / $2,534.92 / $3,815.73	Professional		$1,240.85	$2,534.92	$3,815.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,477.09 / $3,078.32 / $4,007.62	Facility		$2,477.09	$3,078.32	$4,007.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,063.65 / $3,113.16 / $3,596.93	Professional		$2,063.65	$3,113.16	$3,596.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,524.30 / $2,182.61 / $2,862.71	Professional		$1,524.30	$2,182.61	$2,862.71
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $489.79 / $489.79 / $489.79	Professional	80	$489.79	$489.79	$489.79
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $489.79 / $489.79 / $489.79	Professional	AS	$489.79	$489.79	$489.79
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 $1,467.59 / $2,400.48 / $3,734.08	Professional		$1,467.59	$2,400.48	$3,734.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,475.80 / $3,029.20 / $3,029.20	Professional		$2,475.80	$3,029.20	$3,029.20