Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.45 / $896.45 / $896.45	Facility		$896.45	$896.45	$896.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.27 / $896.45 / $2,163.67	Professional		$755.27	$896.45	$2,163.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.28 / $2,035.01 / $2,543.76	Professional		$1,563.28	$2,035.01	$2,543.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,175.80 / $1,478.46 / $2,346.79	Facility		$1,175.80	$1,478.46	$2,346.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $856.68 / $1,832.65 / $6,684.16	Professional		$856.68	$1,832.65	$6,684.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,348.78 / $2,216.21 / $3,711.03	Facility		$1,348.78	$2,216.21	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.78 / $1,775.49 / $2,430.69	Professional		$1,348.78	$1,775.49	$2,430.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,113.40 / $1,518.27 / $1,786.09	Professional		$1,113.40	$1,518.27	$1,786.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.68 / $1,614.48 / $2,470.69	Professional		$856.68	$1,614.48	$2,470.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,771.90 / $2,167.90 / $2,167.90	Professional		$1,771.90	$2,167.90	$2,167.90