Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.96 / $803.96 / $3,511.00	Facility		$803.96	$803.96	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.21 / $803.96 / $1,844.30	Professional		$668.21	$803.96	$1,844.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.56 / $1,788.03 / $2,235.04	Professional		$1,373.56	$1,788.03	$2,235.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,037.54 / $1,283.55 / $1,887.59	Facility		$1,037.54	$1,283.55	$1,887.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.83 / $1,498.01 / $5,818.96	Professional		$734.83	$1,498.01	$5,818.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.94 / $1,927.94 / $10,457.19	Facility		$1,089.94	$1,927.94	$10,457.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,089.94 / $1,509.96 / $2,121.04	Professional		$1,089.94	$1,509.96	$2,121.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.61 / $1,234.07 / $1,533.15	Professional		$812.61	$1,234.07	$1,533.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.55 / $1,343.59 / $2,090.03	Professional		$730.55	$1,343.59	$2,090.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,520.90 / $1,860.90 / $1,860.90	Professional		$1,520.90	$1,860.90	$1,860.90