Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.57 / $620.57 / $3,511.00	Facility		$620.57	$620.57	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.29 / $620.57 / $1,547.68	Professional		$523.29	$620.57	$1,547.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.57 / $1,414.07 / $1,767.58	Professional		$1,080.57	$1,414.07	$1,767.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,050.09 / $1,392.89	Facility		$800.00	$1,050.09	$1,392.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.86 / $1,089.56 / $4,946.76	Professional		$583.86	$1,089.56	$4,946.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,080.57 / $1,422.80 / $3,711.03	Facility		$1,080.57	$1,422.80	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $791.39 / $1,220.93 / $1,666.59	Professional		$791.39	$1,220.93	$1,666.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $633.69 / $919.75 / $1,233.64	Professional		$633.69	$919.75	$1,233.64
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 $560.21 / $1,018.56 / $1,694.87	Professional		$560.21	$1,018.56	$1,694.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.80 / $1,497.40 / $1,497.40	Professional		$1,223.80	$1,497.40	$1,497.40