Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.40 / $762.40 / $3,511.00	Facility		$762.40	$762.40	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $762.40 / $1,965.67	Professional		$642.66	$762.40	$1,965.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.66 / $1,733.50 / $2,166.87	Professional		$1,331.66	$1,733.50	$2,166.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.10 / $1,328.07 / $1,997.03	Facility		$999.10	$1,328.07	$1,997.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.21 / $1,556.31 / $6,283.54	Professional		$815.21	$1,556.31	$6,283.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,144.82 / $2,023.94 / $3,711.03	Facility		$1,144.82	$2,023.94	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,144.82 / $1,708.88 / $2,061.85	Professional		$1,144.82	$1,708.88	$2,061.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $941.44 / $1,291.17 / $1,518.92	Professional		$941.44	$1,291.17	$1,518.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.21 / $1,349.35 / $2,098.98	Professional		$815.21	$1,349.35	$2,098.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,506.80 / $1,843.60 / $1,843.60	Professional		$1,506.80	$1,843.60	$1,843.60