Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,090.30 / $4,365.16	Facility		$660.69	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,258.93	Professional		$575.44	$645.65	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,862.09	Professional		$1,122.02	$1,513.56	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,513.56	Facility		$831.76	$1,071.52	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $4,786.30	Professional		$549.54	$954.99	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,318.26	Professional		$1,174.90	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Professional		$1,174.90	$1,174.90	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
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 $616.60 / $1,122.02 / $1,698.24	Professional		$616.60	$1,122.02	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56