Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,365.16 / $7,762.47	Facility		$602.56	$4,365.16	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $1,202.26	Professional		$549.54	$602.56	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,737.80	Professional		$1,047.13	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,548.82	Facility		$776.25	$1,000.00	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $4,466.84	Professional		$562.34	$977.24	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Professional		$1,230.27	$1,348.96	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,174.90	Professional		$660.69	$1,000.00	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,621.81	Professional		$630.96	$1,047.13	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,445.44	Professional		$1,174.90	$1,380.38	$1,445.44