Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.52 / $968.52 / $968.52	Facility		$968.52	$968.52	$968.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.86 / $968.52 / $2,346.85	Professional		$815.86	$968.52	$2,346.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.97 / $2,198.62 / $2,748.28	Professional		$1,688.97	$2,198.62	$2,748.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,171.98 / $1,524.90 / $2,560.85	Facility		$1,171.98	$1,524.90	$2,560.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.76 / $1,996.87 / $7,235.44	Professional		$916.76	$1,996.87	$7,235.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,751.53 / $2,594.79 / $8,250.46	Facility		$1,751.53	$2,594.79	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,471.96 / $2,043.31 / $2,632.86	Professional		$1,471.96	$2,043.31	$2,632.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.51 / $1,645.30 / $1,935.52	Professional		$1,210.51	$1,645.30	$1,935.52
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 $916.76 / $1,901.78 / $2,682.68	Professional		$916.76	$1,901.78	$2,682.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,920.10 / $2,349.30 / $2,349.30	Professional		$1,920.10	$2,349.30	$2,349.30