Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.72 / $693.72 / $693.72	Facility		$693.72	$693.72	$693.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.05 / $693.72 / $752.30	Professional		$629.05	$693.72	$752.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.70 / $1,662.60 / $2,078.25	Professional		$1,208.70	$1,662.60	$2,078.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.11 / $1,172.39 / $2,000.00	Facility		$752.11	$1,172.39	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $850.64 / $1,420.10 / $5,578.64	Professional		$850.64	$1,420.10	$5,578.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,107.29 / $1,697.22 / $2,394.36	Facility		$1,107.29	$1,697.22	$2,394.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,107.29 / $1,662.95 / $2,066.90	Professional		$1,107.29	$1,662.95	$2,066.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $918.61 / $1,242.21 / $1,508.57	Professional		$918.61	$1,242.21	$1,508.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.92 / $1,277.17 / $2,071.21	Professional		$726.92	$1,277.17	$2,071.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,496.60 / $1,831.10 / $1,831.10	Professional		$1,496.60	$1,831.10	$1,831.10