Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $688.43 / $688.43	Facility		$547.66	$688.43	$688.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.20 / $581.33 / $1,472.31	Professional		$446.20	$581.33	$1,472.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,488.08 / $1,871.79	Professional		$1,132.45	$1,488.08	$1,871.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $629.23 / $945.84 / $1,776.71	Facility		$629.23	$945.84	$1,776.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $819.79 / $1,746.34 / $4,788.24	Professional		$819.79	$1,746.34	$4,788.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $1,587.38 / $5,105.35	Facility		$1,163.00	$1,587.38	$5,105.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,016.94 / $1,358.87 / $1,708.02	Professional		$1,016.94	$1,358.87	$1,708.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $703.17 / $1,006.58 / $1,254.99	Professional		$703.17	$1,006.58	$1,254.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.79 / $1,172.92 / $1,824.54	Professional		$819.79	$1,172.92	$1,824.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $1,173.20 / $1,462.80	Professional		$958.90	$1,173.20	$1,462.80