Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.80 / $590.80 / $3,073.00	Facility		$590.80	$590.80	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $590.80 / $670.69	Professional		$531.46	$590.80	$670.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.48 / $1,407.83 / $1,759.79	Professional		$1,023.48	$1,407.83	$1,759.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.96 / $998.47 / $1,771.36	Facility		$610.96	$998.47	$1,771.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.14 / $1,184.43 / $4,632.96	Professional		$744.14	$1,184.43	$4,632.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $978.51 / $1,537.28 / $3,276.96	Facility		$978.51	$1,537.28	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $1,364.63 / $1,633.81	Professional		$973.00	$1,364.63	$1,633.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $751.18 / $1,063.88 / $1,212.94	Professional		$751.18	$1,063.88	$1,212.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.19 / $1,171.24 / $1,721.75	Professional		$732.19	$1,171.24	$1,721.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,203.30 / $1,472.30 / $1,472.30	Professional		$1,203.30	$1,472.30	$1,472.30