Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.32 / $832.32 / $3,073.00	Facility		$832.32	$832.32	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.48 / $832.32 / $1,941.02	Professional		$694.48	$832.32	$1,941.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.61 / $1,863.61 / $2,329.51	Professional		$1,431.61	$1,863.61	$2,329.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.62 / $1,304.78 / $1,942.40	Facility		$997.62	$1,304.78	$1,942.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.32 / $1,548.98 / $6,077.36	Professional		$767.32	$1,548.98	$6,077.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,132.95 / $2,014.02 / $3,711.03	Facility		$1,132.95	$2,014.02	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,132.95 / $1,574.76 / $2,191.17	Professional		$1,132.95	$1,574.76	$2,191.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $913.03 / $1,255.31 / $1,610.13	Professional		$913.03	$1,255.31	$1,610.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.37 / $1,431.01 / $2,158.04	Professional		$811.37	$1,431.01	$2,158.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,597.30 / $1,954.40 / $1,954.40	Professional		$1,597.30	$1,954.40	$1,954.40