Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.57 / $1,037.57 / $3,073.00	Facility		$1,037.57	$1,037.57	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.93 / $1,037.57 / $1,099.54	Professional		$935.93	$1,037.57	$1,099.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,809.08 / $2,488.44 / $3,110.56	Professional		$1,809.08	$2,488.44	$3,110.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.53 / $1,607.61 / $3,096.90	Facility		$1,073.53	$1,607.61	$3,096.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,201.04 / $2,109.80 / $8,202.56	Professional		$1,201.04	$2,109.80	$8,202.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,697.36 / $2,532.54 / $3,392.35	Facility		$1,697.36	$2,532.54	$3,392.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,428.00 / $2,419.19 / $2,927.01	Professional		$1,428.00	$2,419.19	$2,927.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,227.61 / $1,831.11 / $2,150.30	Professional		$1,227.61	$1,831.11	$2,150.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.04 / $2,013.27 / $3,052.70	Professional		$1,201.04	$2,013.27	$3,052.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,133.19 / $2,610.00 / $2,610.00	Professional		$2,133.19	$2,610.00	$2,610.00