Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $4,365.16	Facility		$794.33	$794.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,621.81	Professional		$724.44	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,290.87	Professional		$1,380.38	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,089.30	Facility		$1,023.29	$1,318.26	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $6,606.93	Professional		$741.31	$1,318.26	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,548.82	Professional		$891.25	$1,318.26	$1,548.82
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 $851.14 / $1,412.54 / $2,187.76	Professional		$851.14	$1,412.54	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Professional		$1,548.82	$1,819.70	$1,905.46