Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.64 / $616.64 / $3,511.00	Facility		$616.64	$616.64	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.17 / $616.64 / $1,643.98	Professional		$520.17	$616.64	$1,643.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.09 / $1,404.72 / $1,755.90	Professional		$1,079.09	$1,404.72	$1,755.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.24 / $1,061.03 / $1,594.42	Facility		$747.24	$1,061.03	$1,594.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.14 / $1,246.90 / $5,247.92	Professional		$653.14	$1,246.90	$5,247.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,530.10 / $3,711.03	Facility		$1,089.00	$1,530.10	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $915.46 / $1,379.18 / $1,659.31	Professional		$915.46	$1,379.18	$1,659.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $752.38 / $1,040.58 / $1,225.88	Professional		$752.38	$1,040.58	$1,225.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $1,187.52 / $1,686.78	Professional		$544.16	$1,187.52	$1,686.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,216.09 / $1,488.00 / $1,488.00	Professional		$1,216.09	$1,488.00	$1,488.00