Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.55 / $669.26 / $669.26	Facility		$562.55	$669.26	$669.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.62 / $562.55 / $1,521.00	Professional		$468.62	$562.55	$1,521.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.11 / $1,516.91 / $1,896.13	Professional		$1,064.11	$1,516.91	$1,896.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.17 / $960.73 / $1,815.99	Facility		$736.17	$960.73	$1,815.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $1,784.14 / $4,812.16	Professional		$753.30	$1,784.14	$4,812.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,207.63 / $1,456.84 / $3,276.96	Facility		$1,207.63	$1,456.84	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,167.14 / $1,383.68 / $1,734.24	Professional		$1,167.14	$1,383.68	$1,734.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.85 / $1,071.91 / $1,405.24	Professional		$707.85	$1,071.91	$1,405.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.57 / $1,421.75 / $2,033.00	Professional		$766.57	$1,421.75	$2,033.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,063.40 / $1,301.09 / $1,535.90	Professional		$1,063.40	$1,301.09	$1,535.90