Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $580.97	Facility		$580.97	$580.97	$580.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.89 / $580.97 / $612.00	Professional		$521.89	$580.97	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.09 / $1,379.79 / $1,724.73	Professional		$1,003.09	$1,379.79	$1,724.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.79 / $981.84 / $1,737.54	Facility		$597.79	$981.84	$1,737.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.03 / $1,171.73 / $5,901.04	Professional		$746.03	$1,171.73	$5,901.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $987.07 / $1,506.84 / $3,276.96	Facility		$987.07	$1,506.84	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $1,335.51 / $1,642.92	Professional		$972.00	$1,335.51	$1,642.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $750.82 / $1,041.18 / $1,187.06	Professional		$750.82	$1,041.18	$1,187.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.97 / $1,119.03 / $1,699.99	Professional		$736.97	$1,119.03	$1,699.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,177.59 / $1,440.80 / $1,440.80	Professional		$1,177.59	$1,440.80	$1,440.80