Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.55 / $595.55 / $4,338.00	Facility		$595.55	$595.55	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $595.55 / $642.87	Professional		$540.58	$595.55	$642.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.48 / $1,431.21 / $1,789.01	Professional		$1,040.48	$1,431.21	$1,789.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.09 / $1,081.16 / $1,810.84	Facility		$645.09	$1,081.16	$1,810.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.84 / $1,249.92 / $5,333.07	Professional		$728.84	$1,249.92	$5,333.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.19 / $1,463.01 / $2,049.16	Facility		$971.19	$1,463.01	$2,049.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,455.59 / $1,767.86	Professional		$949.00	$1,455.59	$1,767.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.63 / $1,098.90 / $1,293.80	Professional		$812.63	$1,098.90	$1,293.80
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 $728.84 / $1,138.46 / $1,770.94	Professional		$728.84	$1,138.46	$1,770.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,283.50 / $1,570.40 / $1,570.40	Professional		$1,283.50	$1,570.40	$1,570.40