Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.59 / $2,615.94 / $2,615.94	Facility		$460.59	$2,615.94	$2,615.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $2,104.09 / $2,615.94	Professional		$408.93	$2,104.09	$2,615.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.83 / $3,682.17 / $6,331.16	Professional		$945.83	$3,682.17	$6,331.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.91 / $2,087.27 / $5,960.31	Facility		$570.91	$2,087.27	$5,960.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,554.52 / $6,446.02 / $16,456.24	Professional		$2,554.52	$6,446.02	$16,456.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.44 / $4,145.32 / $7,305.62	Facility		$1,064.44	$4,145.32	$7,305.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $942.50 / $4,134.09 / $6,163.49	Professional		$942.50	$4,134.09	$6,163.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $624.58 / $2,888.89 / $4,174.45	Professional		$624.58	$2,888.89	$4,174.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,554.52 / $4,466.09 / $6,873.80	Professional		$2,554.52	$4,466.09	$6,873.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $864.10 / $1,057.20 / $5,268.20	Professional		$864.10	$1,057.20	$5,268.20