Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.10 / $846.10 / $3,511.00	Facility		$846.10	$846.10	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.12 / $708.85 / $846.10	Professional		$614.12	$708.85	$846.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.66 / $1,615.07 / $2,018.84	Professional		$1,543.66	$1,615.07	$2,018.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.19 / $1,367.45 / $2,002.18	Facility		$878.19	$1,367.45	$2,002.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,503.34 / $5,291.28	Professional		$902.00	$1,503.34	$5,291.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,071.16 / $2,440.29	Facility		$1,261.00	$2,071.16	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,547.79 / $2,158.19	Professional		$1,207.00	$1,547.79	$2,158.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $940.57 / $1,247.72 / $1,372.07	Professional		$940.57	$1,247.72	$1,372.07
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 $902.00 / $1,435.00 / $2,146.65	Professional		$902.00	$1,435.00	$2,146.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,307.09 / $1,537.70 / $1,599.20	Professional		$1,307.09	$1,537.70	$1,599.20