Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.00 / $992.00 / $4,338.00	Facility		$992.00	$992.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.23 / $992.00 / $2,399.50	Professional		$835.23	$992.00	$2,399.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.47 / $2,250.04 / $2,812.55	Professional		$1,728.47	$2,250.04	$2,812.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.96 / $1,637.61 / $2,613.71	Facility		$1,302.96	$1,637.61	$2,613.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $958.14 / $2,029.48 / $7,402.16	Professional		$958.14	$2,029.48	$7,402.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,496.30 / $2,454.44 / $15,588.16	Facility		$1,496.30	$2,454.44	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,496.30 / $2,085.69 / $2,696.60	Professional		$1,496.30	$2,085.69	$2,696.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.93 / $1,682.69 / $1,979.51	Professional		$1,220.93	$1,682.69	$1,979.51
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 $1,063.06 / $1,932.84 / $2,744.06	Professional		$1,063.06	$1,932.84	$2,744.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,963.80 / $2,402.69 / $2,402.69	Professional		$1,963.80	$2,402.69	$2,402.69