Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,412.54	Professional		$870.96	$1,096.48	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,691.53	Professional		$2,187.76	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,630.27	Facility		$1,148.15	$1,380.38	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $7,244.36	Professional		$891.25	$1,737.80	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,238.72	Professional		$2,089.30	$2,187.76	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,949.84	Professional		$1,230.27	$1,698.24	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,691.53	Professional		$1,047.13	$1,862.09	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,238.72	Professional		$1,862.09	$2,187.76	$2,238.72