Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.65 / $764.65 / $3,073.00	Facility		$764.65	$764.65	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.04 / $764.65 / $1,839.47	Professional		$645.04	$764.65	$1,839.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.25 / $1,742.07 / $2,177.58	Professional		$1,338.25	$1,742.07	$2,177.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.57 / $1,280.02 / $1,974.19	Facility		$999.57	$1,280.02	$1,974.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.79 / $1,548.75 / $7,170.75	Professional		$721.79	$1,548.75	$7,170.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,136.93 / $1,885.87 / $8,250.46	Facility		$1,136.93	$1,885.87	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,136.93 / $1,574.31 / $2,052.73	Professional		$1,136.93	$1,574.31	$2,052.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $937.06 / $1,288.33 / $1,520.86	Professional		$937.06	$1,288.33	$1,520.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.25 / $1,343.30 / $2,089.58	Professional		$811.25	$1,343.30	$2,089.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,508.80 / $1,846.00 / $1,846.00	Professional		$1,508.80	$1,846.00	$1,846.00