Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.88 / $692.88 / $3,511.00	Facility		$692.88	$692.88	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.71 / $692.88 / $1,665.40	Professional		$583.71	$692.88	$1,665.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.35 / $1,576.90 / $1,971.12	Professional		$1,211.35	$1,576.90	$1,971.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.33 / $1,167.42 / $1,781.71	Facility		$905.33	$1,167.42	$1,781.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $662.11 / $1,391.67 / $5,145.35	Professional		$662.11	$1,391.67	$5,145.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,705.72 / $3,711.03	Facility		$1,089.00	$1,705.72	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.70 / $1,423.83 / $1,859.68	Professional		$1,021.70	$1,423.83	$1,859.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $839.80 / $1,162.69 / $1,377.25	Professional		$839.80	$1,162.69	$1,377.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $6,489.22	Facility		$3,143.00	$3,143.00	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $728.97 / $1,214.28 / $1,888.88	Professional		$728.97	$1,214.28	$1,888.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.30 / $1,671.70 / $1,671.70	Professional		$1,366.30	$1,671.70	$1,671.70