Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $4,365.16	Facility		$912.01	$912.01	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,862.09	Professional		$831.76	$912.01	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,630.27	Professional		$1,584.89	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,398.83	Facility		$1,202.26	$1,548.82	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $12,022.64	Professional		$851.14	$1,513.56	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,089.30	Professional		$1,698.24	$2,089.30	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,819.70	Professional		$1,122.02	$1,548.82	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,511.89	Professional		$977.24	$1,659.59	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,187.76	Professional		$1,819.70	$2,137.96	$2,187.76