Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.75 / $718.75 / $3,511.00	Facility		$718.75	$718.75	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $718.75 / $1,154.58	Professional		$679.95	$718.75	$1,154.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.86 / $1,624.42 / $2,030.53	Professional		$1,247.86	$1,624.42	$2,030.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.82 / $1,153.35 / $1,920.89	Facility		$869.82	$1,153.35	$1,920.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $780.53 / $1,490.10 / $5,399.12	Professional		$780.53	$1,490.10	$5,399.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,332.72 / $1,802.85 / $2,824.47	Facility		$1,332.72	$1,802.85	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.28 / $1,527.55 / $1,957.54	Professional		$1,009.28	$1,527.55	$1,957.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $913.46 / $1,235.25 / $1,451.64	Professional		$913.46	$1,235.25	$1,451.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $273.98 / $273.98 / $273.98	Professional	AS	$273.98	$273.98	$273.98
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 $780.53 / $1,286.64 / $2,001.44	Professional		$780.53	$1,286.64	$2,001.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,440.10 / $1,762.00 / $1,762.00	Professional		$1,440.10	$1,762.00	$1,762.00