Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.88 / $929.88 / $929.88	Facility		$929.88	$929.88	$929.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.60 / $929.88 / $2,717.70	Professional		$757.60	$929.88	$2,717.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.73 / $2,041.20 / $2,526.23	Professional		$2,020.73	$2,041.20	$2,526.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,083.36 / $1,571.50 / $2,494.14	Facility		$1,083.36	$1,571.50	$2,494.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,087.36 / $1,821.36 / $6,742.24	Professional		$1,087.36	$1,821.36	$6,742.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,413.61 / $2,235.46 / $2,900.12	Facility		$1,413.61	$2,235.46	$2,900.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $2,061.11 / $2,513.67	Professional		$1,592.00	$2,061.11	$2,513.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,169.83 / $1,606.88 / $1,832.02	Professional		$1,169.83	$1,606.88	$1,832.02
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 $1,087.36 / $1,812.28 / $2,531.23	Professional		$1,087.36	$1,812.28	$2,531.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,745.20 / $2,053.19 / $2,135.30	Professional		$1,745.20	$2,053.19	$2,135.30