Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.90 / $908.90 / $3,511.00	Facility		$908.90	$908.90	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.72 / $908.90 / $2,217.69	Professional		$765.72	$908.90	$2,217.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.23 / $2,062.28 / $2,577.85	Professional		$1,584.23	$2,062.28	$2,577.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,192.71 / $1,584.64 / $2,381.92	Facility		$1,192.71	$1,584.64	$2,381.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $972.94 / $1,857.43 / $7,097.00	Professional		$972.94	$1,857.43	$7,097.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,367.94 / $2,373.17 / $8,250.46	Facility		$1,367.94	$2,373.17	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,367.94 / $2,038.57 / $2,466.21	Professional		$1,367.94	$2,038.57	$2,466.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,127.05 / $1,540.27 / $1,811.97	Professional		$1,127.05	$1,540.27	$1,811.97
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 $972.94 / $1,768.98 / $2,507.29	Professional		$972.94	$1,768.98	$2,507.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,797.50 / $2,199.30 / $2,199.30	Professional		$1,797.50	$2,199.30	$2,199.30