Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $8,511.38	Facility		$1,412.54	$4,365.16	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $4,265.80	Professional		$1,412.54	$2,290.87	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $3,890.45	Professional		$2,754.23	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $4,570.88	Facility		$1,000.00	$1,659.59	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $11,481.54	Professional		$1,230.27	$2,137.96	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,090.30	Professional		$2,884.03	$3,090.30	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	AS	$501.19	$501.19	$501.19
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 $1,479.11 / $2,398.83 / $3,715.35	Professional		$1,479.11	$2,398.83	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,019.95	Professional		$2,454.71	$2,884.03	$3,019.95