Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.28 / $586.28 / $586.28	Facility		$586.28	$586.28	$586.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $586.28 / $1,068.93	Professional		$491.63	$586.28	$1,068.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.64 / $1,329.92 / $1,662.40	Professional		$1,021.64	$1,329.92	$1,662.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.09 / $955.78 / $1,498.17	Facility		$717.09	$955.78	$1,498.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.38 / $1,180.81 / $5,007.80	Professional		$548.38	$1,180.81	$5,007.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,075.38 / $1,398.77 / $6,855.77	Facility		$1,075.38	$1,398.77	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $865.89 / $1,120.21 / $1,562.79	Professional		$865.89	$1,120.21	$1,562.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $697.44 / $969.80 / $1,151.48	Professional		$697.44	$969.80	$1,151.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $1,034.08 / $1,608.57	Professional		$513.52	$1,034.08	$1,608.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,142.30 / $1,397.70 / $1,397.70	Professional		$1,142.30	$1,397.70	$1,397.70