Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.97 / $876.97 / $3,073.00	Facility		$876.97	$876.97	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.74 / $876.97 / $2,321.21	Professional		$712.74	$876.97	$2,321.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,827.50 / $1,890.10 / $2,362.62	Professional		$1,827.50	$1,890.10	$2,362.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,019.22 / $1,431.48 / $2,188.83	Facility		$1,019.22	$1,431.48	$2,188.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.14 / $1,631.90 / $6,203.36	Professional		$979.14	$1,631.90	$6,203.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.00 / $2,189.09 / $5,269.25	Facility		$1,376.00	$2,189.09	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,435.00 / $1,827.50 / $2,249.46	Professional		$1,435.00	$1,827.50	$2,249.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,009.35 / $1,385.52 / $1,624.37	Professional		$1,009.35	$1,385.52	$1,624.37
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 $979.14 / $1,631.90 / $2,274.05	Professional		$979.14	$1,631.90	$2,274.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.40 / $1,820.50 / $1,893.30	Professional		$1,547.40	$1,820.50	$1,893.30