Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,290.87 / $4,365.16	Facility		$691.83	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,380.38	Professional		$616.60	$691.83	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,995.26	Professional		$1,174.90	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,584.89	Facility		$831.76	$1,148.15	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $5,011.87	Professional		$630.96	$1,023.29	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,412.54	Professional		$1,258.93	$1,380.38	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Professional		$1,258.93	$1,258.93	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,318.26	Professional		$660.69	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,778.28	Professional		$660.69	$1,174.90	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81