Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $4,365.16	Facility		$645.65	$831.76	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,288.25	Professional		$562.34	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,511.89	Professional		$1,445.44	$1,949.84	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,187.76	Facility		$724.44	$1,122.02	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,698.24 / $6,309.57	Professional		$776.25	$1,698.24	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,089.30	Professional		$1,445.44	$1,621.81	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,737.80	Professional		$1,318.26	$1,318.26	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,659.59	Professional		$933.25	$1,380.38	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,137.96	Professional		$776.25	$1,288.25	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,862.09	Professional		$1,202.26	$1,445.44	$1,862.09