Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $893.00 / $893.00	Facility		$893.00	$893.00	$893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.50 / $893.00 / $893.00	Professional		$636.50	$893.00	$893.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,893.77 / $1,893.77 / $1,893.77	Facility		$1,893.77	$1,893.77	$1,893.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.47 / $1,725.35 / $2,156.69	Professional		$1,102.47	$1,725.35	$2,156.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $896.61 / $1,075.69 / $4,512.50	Facility		$896.61	$1,075.69	$4,512.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.50 / $855.00 / $1,425.00	Professional		$484.50	$855.00	$1,425.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,737.31 / $1,869.31	Facility		$1,140.00	$1,737.31	$1,869.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.95 / $1,869.31 / $2,479.50	Professional		$1,140.95	$1,869.31	$2,479.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $2,288.84 / $2,609.84	Professional		$950.00	$2,288.84	$2,609.84
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,140.00	Professional		$399.00	$570.00	$1,140.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00