Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $4,365.16	Facility		$616.60	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,202.26	Professional		$562.34	$616.60	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,778.28	Professional		$1,023.29	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,584.89	Facility		$776.25	$1,023.29	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $4,677.35	Professional		$537.03	$1,000.00	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,380.38	Professional		$1,000.00	$1,380.38	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Professional		$1,000.00	$1,000.00	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,230.27	Professional		$630.96	$1,023.29	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,659.59	Professional		$645.65	$1,096.48	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Professional		$1,202.26	$1,412.54	$1,479.11