Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $4,365.16	Facility		$660.69	$812.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,621.81	Professional		$616.60	$812.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,398.83	Professional		$1,174.90	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,995.26	Facility		$954.99	$1,230.27	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,778.28 / $5,888.44	Professional		$794.33	$1,778.28	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,995.26	Professional		$1,479.11	$1,659.59	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $1,995.26	Professional		$1,445.44	$1,659.59	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,584.89	Professional		$977.24	$1,318.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $2,344.23	Professional		$812.83	$1,445.44	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,905.46	Professional		$1,288.25	$1,584.89	$1,905.46