Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.82 / $908.82 / $908.82	Facility		$908.82	$908.82	$908.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.58 / $908.82 / $2,198.92	Professional		$765.58	$908.82	$2,198.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.23 / $2,062.28 / $2,577.85	Professional		$1,584.23	$2,062.28	$2,577.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.88 / $1,535.91 / $2,404.17	Facility		$1,193.88	$1,535.91	$2,404.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $1,875.30 / $11,926.99	Professional		$935.86	$1,875.30	$11,926.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,681.80 / $2,216.36 / $8,250.46	Facility		$1,681.80	$2,216.36	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,381.67 / $1,864.29 / $2,471.67	Professional		$1,381.67	$1,864.29	$2,471.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,136.40 / $1,542.17 / $1,813.91	Professional		$1,136.40	$1,542.17	$1,813.91
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 $935.86 / $1,617.98 / $2,516.86	Professional		$935.86	$1,617.98	$2,516.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,799.50 / $2,201.69 / $2,201.69	Professional		$1,799.50	$2,201.69	$2,201.69