Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.31 / $805.31 / $805.31	Facility		$805.31	$805.31	$805.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $805.31 / $1,584.40	Professional		$678.17	$805.31	$1,584.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.58 / $1,855.82 / $2,319.77	Professional		$1,480.58	$1,855.82	$2,319.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,066.49 / $1,334.80 / $2,461.12	Facility		$1,066.49	$1,334.80	$2,461.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.82 / $1,943.93 / $8,584.09	Professional		$867.82	$1,943.93	$8,584.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,430.10 / $2,052.04 / $8,752.74	Facility		$1,430.10	$2,052.04	$8,752.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,430.10 / $1,836.61 / $2,131.76	Professional		$1,430.10	$1,836.61	$2,131.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,028.34 / $1,387.29 / $1,590.37	Professional		$1,028.34	$1,387.29	$1,590.37
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 $867.82 / $1,519.58 / $2,363.79	Professional		$867.82	$1,519.58	$2,363.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,569.10 / $1,919.80 / $1,919.80	Professional		$1,569.10	$1,919.80	$1,919.80