Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.64 / $897.64 / $3,511.00	Facility		$897.64	$897.64	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.26 / $897.64 / $897.64	Professional		$782.26	$897.64	$897.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.39 / $2,112.14 / $2,640.18	Professional		$1,919.39	$2,112.14	$2,640.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.68 / $1,438.95 / $2,371.59	Facility		$1,109.68	$1,438.95	$2,371.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.09 / $1,861.62 / $6,896.16	Professional		$872.09	$1,861.62	$6,896.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,451.00 / $2,286.84 / $3,929.20	Facility		$1,451.00	$2,286.84	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,338.30 / $2,039.36 / $2,516.07	Professional		$1,338.30	$2,039.36	$2,516.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,101.38 / $1,514.27 / $1,835.26	Professional		$1,101.38	$1,514.27	$1,835.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.46 / $1,731.74 / $2,504.52	Professional		$952.46	$1,731.74	$2,504.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,682.00 / $1,978.80 / $2,058.00	Professional		$1,682.00	$1,978.80	$2,058.00