Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.80 / $766.80 / $2,290.00	Facility		$766.80	$766.80	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.89 / $766.80 / $1,882.90	Professional		$643.89	$766.80	$1,882.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.93 / $1,721.03 / $2,151.29	Professional		$1,361.93	$1,721.03	$2,151.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.20 / $1,332.71 / $2,117.98	Facility		$1,020.20	$1,332.71	$2,117.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $845.14 / $1,659.95 / $13,245.15	Professional		$845.14	$1,659.95	$13,245.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,232.67 / $1,832.06 / $2,462.13	Facility		$1,232.67	$1,832.06	$2,462.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,232.67 / $1,737.25 / $2,128.16	Professional		$1,232.67	$1,737.25	$2,128.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,002.28 / $1,354.38 / $1,544.15	Professional		$1,002.28	$1,354.38	$1,544.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.50 / $1,409.54 / $2,192.62	Professional		$869.50	$1,409.54	$2,192.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,531.90 / $1,874.30 / $1,874.30	Professional		$1,531.90	$1,874.30	$1,874.30