Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.61 / $612.61 / $3,511.00	Facility		$612.61	$612.61	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $612.61 / $1,473.50	Professional		$516.80	$612.61	$1,473.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.56 / $1,396.93 / $1,746.16	Professional		$1,015.56	$1,396.93	$1,746.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.65 / $1,012.40 / $1,579.95	Facility		$769.65	$1,012.40	$1,579.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.82 / $1,239.33 / $4,694.09	Professional		$576.82	$1,239.33	$4,694.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,007.30 / $1,371.98 / $11,832.49	Facility		$1,007.30	$1,371.98	$11,832.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $909.21 / $1,177.66 / $1,644.74	Professional		$909.21	$1,177.66	$1,644.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $749.35 / $1,031.15 / $1,218.76	Professional		$749.35	$1,031.15	$1,218.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $14,287.46	Facility		$5,357.00	$5,357.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $649.17 / $1,091.80 / $1,672.16	Professional		$649.17	$1,091.80	$1,672.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,209.09 / $1,479.30 / $1,479.30	Professional		$1,209.09	$1,479.30	$1,479.30