Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.06 / $472.06 / $472.06	Facility		$472.06	$472.06	$472.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.23 / $472.06 / $472.06	Professional		$435.23	$472.06	$472.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.59 / $967.64 / $1,209.55	Professional		$912.59	$967.64	$1,209.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $735.54 / $1,295.22	Facility		$455.47	$735.54	$1,295.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.42 / $945.72 / $3,320.88	Professional		$567.42	$945.72	$3,320.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $938.94 / $1,101.88 / $1,447.44	Facility		$938.94	$1,101.88	$1,447.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $848.63 / $1,064.08 / $1,373.03	Professional		$848.63	$1,064.08	$1,373.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $784.15 / $894.02	Professional		$598.54	$784.15	$894.02
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 $567.42 / $945.72 / $1,256.78	Professional		$567.42	$945.72	$1,256.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $922.10 / $1,084.90 / $1,128.30	Professional		$922.10	$1,084.90	$1,128.30