Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $3,073.00	Facility		$714.02	$714.02	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.61 / $714.02 / $1,720.47	Professional		$601.61	$714.02	$1,720.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.27 / $1,623.64 / $2,029.56	Professional		$1,247.27	$1,623.64	$2,029.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $935.09 / $1,202.54 / $1,866.38	Facility		$935.09	$1,202.54	$1,866.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.87 / $1,460.59 / $5,316.00	Professional		$670.87	$1,460.59	$5,316.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,073.53 / $1,762.47 / $10,482.10	Facility		$1,073.53	$1,762.47	$10,482.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,073.53 / $1,488.11 / $1,927.07	Professional		$1,073.53	$1,488.11	$1,927.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $885.58 / $1,208.13 / $1,421.24	Professional		$885.58	$1,208.13	$1,421.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.07 / $1,391.04 / $1,964.45	Professional		$765.07	$1,391.04	$1,964.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,409.90 / $1,725.10 / $1,725.10	Professional		$1,409.90	$1,725.10	$1,725.10