Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.14 / $793.14 / $4,338.00	Facility		$793.14	$793.14	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.49 / $793.14 / $1,915.75	Professional		$668.49	$793.14	$1,915.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.93 / $1,802.84 / $2,253.55	Professional		$1,384.93	$1,802.84	$2,253.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.29 / $1,305.36 / $2,080.86	Facility		$960.29	$1,305.36	$2,080.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.49 / $1,624.22 / $5,914.16	Professional		$745.49	$1,624.22	$5,914.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,466.56 / $2,117.31 / $21,144.08	Facility		$1,466.56	$2,117.31	$21,144.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,195.22 / $1,659.07 / $2,148.37	Professional		$1,195.22	$1,659.07	$2,148.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $984.92 / $1,344.51 / $1,581.67	Professional		$984.92	$1,344.51	$1,581.67
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 $850.78 / $1,613.12 / $2,187.71	Professional		$850.78	$1,613.12	$2,187.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,569.10 / $1,919.80 / $1,919.80	Professional		$1,569.10	$1,919.80	$1,919.80