Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.50 / $592.50 / $592.50	Facility		$592.50	$592.50	$592.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.91 / $592.50 / $1,423.03	Professional		$499.91	$592.50	$1,423.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.40 / $1,351.74 / $1,689.67	Professional		$1,038.40	$1,351.74	$1,689.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.37 / $999.82 / $1,523.43	Facility		$773.37	$999.82	$1,523.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.72 / $1,196.98 / $9,231.33	Professional		$557.72	$1,196.98	$9,231.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.99 / $1,459.25 / $3,711.03	Facility		$1,092.99	$1,459.25	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $1,215.61 / $1,587.38	Professional		$877.59	$1,215.61	$1,587.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $723.38 / $994.57 / $1,177.35	Professional		$723.38	$994.57	$1,177.35
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 $626.99 / $1,139.98 / $1,613.98	Professional		$626.99	$1,139.98	$1,613.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,168.00 / $1,429.10 / $1,429.10	Professional		$1,168.00	$1,429.10	$1,429.10