Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.19 / $663.19 / $663.19	Facility		$663.19	$663.19	$663.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.17 / $663.19 / $1,596.28	Professional		$559.17	$663.19	$1,596.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.70 / $1,508.34 / $1,885.42	Professional		$1,158.70	$1,508.34	$1,885.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.97 / $1,105.56 / $1,724.30	Facility		$867.97	$1,105.56	$1,724.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.28 / $1,349.27 / $5,719.42	Professional		$630.28	$1,349.27	$5,719.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.02 / $1,760.97 / $8,250.46	Facility		$1,225.02	$1,760.97	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $991.36 / $1,375.60 / $1,786.81	Professional		$991.36	$1,375.60	$1,786.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.21 / $1,121.25 / $1,319.03	Professional		$818.21	$1,121.25	$1,319.03
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 $630.28 / $1,169.39 / $1,819.05	Professional		$630.28	$1,169.39	$1,819.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,308.50 / $1,601.00 / $1,601.00	Professional		$1,308.50	$1,601.00	$1,601.00