Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $697.73 / $697.73	Facility		$697.73	$697.73	$697.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $578.97 / $697.73	Professional		$578.97	$578.97	$697.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.57 / $1,348.68 / $1,685.86	Professional		$1,066.57	$1,348.68	$1,685.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $840.47 / $1,362.66	Facility		$700.56	$840.47	$1,362.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.56 / $445.36 / $1,460.79	Professional		$378.56	$445.36	$1,460.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $890.72 / $1,247.75 / $1,588.74	Facility		$890.72	$1,247.75	$1,588.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $890.72 / $1,460.79 / $1,588.74	Professional		$890.72	$1,460.79	$1,588.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,061.45 / $1,788.35 / $2,039.16	Professional		$1,061.45	$1,788.35	$2,039.16
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $378.56 / $742.27	Professional		$311.75	$378.56	$742.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $742.27	Professional		$742.27	$742.27	$742.27