Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $4,365.16	Facility		$724.44	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,479.11	Professional		$660.69	$724.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,089.30	Professional		$1,258.93	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,819.70	Facility		$933.25	$1,202.26	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $6,025.60	Professional		$676.08	$1,174.90	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $1,621.81	Professional		$1,445.44	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,445.44	Professional		$812.83	$1,174.90	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,995.26	Professional		$794.33	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Professional		$1,412.54	$1,659.59	$1,737.80