Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.19 / $993.19 / $993.19	Facility		$993.19	$993.19	$993.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.91 / $993.19 / $3,115.19	Professional		$891.91	$993.19	$3,115.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.25 / $2,330.29 / $2,912.86	Professional		$2,160.25	$2,330.29	$2,912.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,275.43 / $1,678.49 / $2,804.58	Facility		$1,275.43	$1,678.49	$2,804.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,285.27 / $2,142.12 / $7,830.64	Professional		$1,285.27	$2,142.12	$7,830.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,666.01 / $2,483.57 / $3,373.56	Facility		$1,666.01	$2,483.57	$3,373.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,673.00 / $2,160.25 / $2,905.20	Professional		$1,673.00	$2,160.25	$2,905.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,315.57 / $1,809.64 / $2,117.30	Professional		$1,315.57	$1,809.64	$2,117.30
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 $1,408.13 / $2,058.14 / $2,909.28	Professional		$1,408.13	$2,058.14	$2,909.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,100.40 / $2,471.10 / $2,570.00	Professional		$2,100.40	$2,471.10	$2,570.00