Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $906.22 / $906.22	Facility		$906.22	$906.22	$906.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $906.22 / $906.22	Professional		$841.85	$906.22	$906.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.79 / $1,865.94 / $2,332.42	Professional		$1,759.79	$1,865.94	$2,332.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.93 / $1,474.75 / $2,623.07	Facility		$1,108.93	$1,474.75	$2,623.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.02 / $1,860.04 / $6,442.24	Professional		$1,023.02	$1,860.04	$6,442.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,676.00 / $2,136.98 / $2,795.82	Facility		$1,676.00	$2,136.98	$2,795.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,299.00 / $1,958.49 / $2,421.58	Professional		$1,299.00	$1,958.49	$2,421.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,205.29 / $1,526.87 / $1,740.81	Professional		$1,205.29	$1,526.87	$1,740.81
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 $1,023.02 / $1,647.88 / $2,409.92	Professional		$1,023.02	$1,647.88	$2,409.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,795.60 / $2,112.40 / $2,196.90	Professional		$1,795.60	$2,112.40	$2,196.90