Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.84 / $1,095.84 / $4,338.00	Facility		$1,095.84	$1,095.84	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $547.92 / $547.92 / $547.92	Facility	52	$547.92	$547.92	$547.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,095.84 / $6,719.35	Professional		$907.79	$1,095.84	$6,719.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.67 / $2,327.94 / $2,909.94	Professional		$2,191.67	$2,327.94	$2,909.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.76 / $1,706.82 / $2,569.58	Facility		$1,049.76	$1,706.82	$2,569.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,150.26 / $1,917.10 / $7,671.04	Professional		$1,150.26	$1,917.10	$7,671.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,613.00 / $2,641.27 / $5,269.25	Facility		$1,613.00	$2,641.27	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,417.00 / $2,237.23 / $2,793.51	Professional		$1,417.00	$2,237.23	$2,793.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,112.45 / $1,672.22 / $1,988.57	Professional		$1,112.45	$1,672.22	$1,988.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $11,831.32	Facility		$4,500.00	$4,500.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.26 / $1,784.20 / $2,775.42	Professional		$1,150.26	$1,784.20	$2,775.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,894.40 / $2,228.69 / $2,317.80	Professional		$1,894.40	$2,228.69	$2,317.80