Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.98 / $897.98 / $897.98	Facility		$897.98	$897.98	$897.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.88 / $897.98 / $2,144.82	Professional		$751.88	$897.98	$2,144.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,557.90 / $2,028.00 / $2,535.00	Professional		$1,557.90	$2,028.00	$2,535.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,178.85 / $1,481.49 / $2,359.35	Facility		$1,178.85	$1,481.49	$2,359.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $838.10 / $1,848.90 / $7,152.58	Professional		$838.10	$1,848.90	$7,152.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,361.98 / $2,052.81 / $2,789.59	Facility		$1,361.98	$2,052.81	$2,789.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,361.98 / $1,888.92 / $2,417.92	Professional		$1,361.98	$1,888.92	$2,417.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,106.81 / $1,503.98 / $1,769.27	Professional		$1,106.81	$1,503.98	$1,769.27
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 $826.44 / $1,607.67 / $2,500.82	Professional		$826.44	$1,607.67	$2,500.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,755.20 / $2,147.50 / $2,147.50	Professional		$1,755.20	$2,147.50	$2,147.50