Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.75 / $745.64 / $2,789.19	Facility		$602.75	$745.64	$2,789.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.62 / $745.64 / $2,106.63	Professional		$592.62	$745.64	$2,106.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.18 / $1,758.43 / $2,198.04	Professional		$1,299.18	$1,758.43	$2,198.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.02 / $1,087.66 / $1,970.79	Facility		$759.02	$1,087.66	$1,970.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $1,731.72 / $5,675.84	Professional		$698.32	$1,731.72	$5,675.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $1,675.40 / $2,329.67	Facility		$1,187.00	$1,675.40	$2,329.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,556.18 / $2,016.30	Professional		$1,087.00	$1,556.18	$2,016.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $820.47 / $1,222.64 / $1,489.16	Professional		$820.47	$1,222.64	$1,489.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $1,359.11 / $2,114.17	Professional		$698.32	$1,359.11	$2,114.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,120.50 / $1,371.00 / $1,669.90	Professional		$1,120.50	$1,371.00	$1,669.90