Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.30 / $900.30 / $900.30	Facility		$900.30	$900.30	$900.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.47 / $900.30 / $2,624.59	Professional		$739.47	$900.30	$2,624.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.06 / $1,968.80 / $2,436.64	Professional		$1,949.06	$1,968.80	$2,436.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,057.44 / $1,521.51 / $2,371.65	Facility		$1,057.44	$1,521.51	$2,371.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,048.79 / $1,758.61 / $6,891.71	Professional		$1,048.79	$1,758.61	$6,891.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,364.04 / $2,181.36 / $2,824.02	Facility		$1,364.04	$2,181.36	$2,824.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,574.00 / $1,996.34 / $2,435.61	Professional		$1,574.00	$1,996.34	$2,435.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.68 / $1,520.12 / $1,774.45	Professional		$1,138.68	$1,520.12	$1,774.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.79 / $1,747.98 / $2,441.35	Professional		$1,048.79	$1,747.98	$2,441.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,690.40 / $1,988.70 / $2,068.19	Professional		$1,690.40	$1,988.70	$2,068.19