Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.20 / $590.20 / $4,338.00	Facility		$590.20	$590.20	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.25 / $590.20 / $637.82	Professional		$535.25	$590.20	$637.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.28 / $1,417.18 / $1,771.48	Professional		$1,030.28	$1,417.18	$1,771.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.26 / $904.57 / $1,803.72	Facility		$639.26	$904.57	$1,803.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.69 / $1,196.98 / $4,738.72	Professional		$746.69	$1,196.98	$4,738.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $967.24 / $1,731.36 / $16,491.90	Facility		$967.24	$1,731.36	$16,491.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,448.10 / $1,753.45	Professional		$1,166.08	$1,448.10	$1,753.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $807.85 / $1,089.90 / $1,282.16	Professional		$807.85	$1,089.90	$1,282.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.62 / $1,129.36 / $1,756.80	Professional		$673.62	$1,129.36	$1,756.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,271.90 / $1,556.30 / $1,556.30	Professional		$1,271.90	$1,556.30	$1,556.30