Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.25 / $1,664.25 / $1,664.25	Facility		$1,664.25	$1,664.25	$1,664.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.98 / $1,664.25 / $1,664.25	Professional		$1,380.98	$1,664.25	$1,664.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.05 / $3,215.69 / $4,019.62	Professional		$2,543.05	$3,215.69	$4,019.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,670.98 / $2,004.71 / $3,250.24	Facility		$1,670.98	$2,004.71	$3,250.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.94 / $1,062.29 / $8,816.99	Professional		$902.94	$1,062.29	$8,816.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $2,301.62 / $4,869.60	Facility		$2,124.58	$2,301.62	$4,869.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,124.58 / $2,124.58 / $4,869.60	Professional		$2,124.58	$2,124.58	$4,869.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,625.77 / $4,265.62 / $4,863.85	Professional		$3,625.77	$4,265.62	$4,863.85
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $902.94 / $1,770.48	Professional		$743.60	$902.94	$1,770.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $1,770.48	Professional		$1,770.48	$1,770.48	$1,770.48