Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.86 / $544.86 / $3,511.00	Facility		$544.86	$544.86	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.40 / $544.86 / $1,557.44	Professional		$459.40	$544.86	$1,557.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.81 / $1,240.33 / $1,550.41	Professional		$952.81	$1,240.33	$1,550.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.54 / $920.81 / $1,417.20	Facility		$712.54	$920.81	$1,417.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.25 / $1,109.16 / $5,224.09	Professional		$521.25	$1,109.16	$5,224.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,005.80 / $1,343.81 / $8,250.46	Facility		$1,005.80	$1,343.81	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $1,188.38 / $1,467.16	Professional		$814.41	$1,188.38	$1,467.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $666.43 / $921.08 / $1,083.56	Professional		$666.43	$921.08	$1,083.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.99 / $1,056.33 / $1,493.80	Professional		$580.99	$1,056.33	$1,493.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,074.90 / $1,315.20 / $1,315.20	Professional		$1,074.90	$1,315.20	$1,315.20