Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $4,338.00	Facility		$810.92	$810.92	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.63 / $810.92 / $1,959.15	Professional		$683.63	$810.92	$1,959.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.45 / $1,842.57 / $2,303.21	Professional		$1,415.45	$1,842.57	$2,303.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,063.68 / $1,375.68 / $2,130.11	Facility		$1,063.68	$1,375.68	$2,130.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.42 / $1,657.95 / $6,620.93	Professional		$791.42	$1,657.95	$6,620.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,006.01 / $22,534.76	Facility		$1,392.00	$2,006.01	$22,534.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,220.41 / $1,694.04 / $2,197.54	Professional		$1,220.41	$1,694.04	$2,197.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,007.33 / $1,374.75 / $1,617.25	Professional		$1,007.33	$1,374.75	$1,617.25
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 $791.42 / $1,433.09 / $2,229.25	Professional		$791.42	$1,433.09	$2,229.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,604.40 / $1,963.00 / $1,963.00	Professional		$1,604.40	$1,963.00	$1,963.00