Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.93 / $768.93 / $768.93	Facility		$768.93	$768.93	$768.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $768.93 / $1,857.32	Professional		$647.72	$768.93	$1,857.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.84 / $1,746.74 / $2,183.42	Professional		$1,341.84	$1,746.74	$2,183.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $991.04 / $1,283.70 / $2,020.21	Facility		$991.04	$1,283.70	$2,020.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $722.23 / $1,548.58 / $5,732.88	Professional		$722.23	$1,548.58	$5,732.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,140.84 / $1,748.05 / $2,402.69	Facility		$1,140.84	$1,748.05	$2,402.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.84 / $1,610.09 / $2,084.61	Professional		$1,140.84	$1,610.09	$2,084.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $940.14 / $1,303.26 / $1,533.15	Professional		$940.14	$1,303.26	$1,533.15
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 $811.16 / $1,364.26 / $2,122.17	Professional		$811.16	$1,364.26	$2,122.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,520.90 / $1,860.90 / $1,860.90	Professional		$1,520.90	$1,860.90	$1,860.90