Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.04 / $873.04 / $3,511.00	Facility		$873.04	$873.04	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.16 / $873.04 / $2,052.17	Professional		$700.16	$873.04	$2,052.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.79 / $1,876.85 / $2,346.06	Professional		$1,441.79	$1,876.85	$2,346.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.18 / $1,475.44 / $2,287.46	Facility		$1,148.18	$1,475.44	$2,287.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $786.85 / $1,807.03 / $6,898.32	Professional		$786.85	$1,807.03	$6,898.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,332.55 / $2,025.00 / $2,824.47	Facility		$1,332.55	$2,025.00	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,332.55 / $1,840.96 / $2,350.66	Professional		$1,332.55	$1,840.96	$2,350.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,067.84 / $1,477.77 / $1,691.00	Professional		$1,067.84	$1,477.77	$1,691.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.85 / $1,559.11 / $2,425.28	Professional		$786.85	$1,559.11	$2,425.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,677.50 / $2,052.50 / $2,052.50	Professional		$1,677.50	$2,052.50	$2,052.50