Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.97 / $903.97 / $903.97	Facility		$903.97	$903.97	$903.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.03 / $903.97 / $2,741.75	Professional		$806.03	$903.97	$2,741.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,065.48 / $2,116.04 / $2,645.04	Professional		$2,065.48	$2,116.04	$2,645.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,152.61 / $1,527.71 / $2,547.96	Facility		$1,152.61	$1,527.71	$2,547.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,136.92 / $1,894.86 / $7,034.40	Professional		$1,136.92	$1,894.86	$7,034.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,483.21 / $2,337.01 / $2,933.48	Facility		$1,483.21	$2,337.01	$2,933.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,567.00 / $2,065.48 / $2,548.50	Professional		$1,567.00	$2,065.48	$2,548.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,196.64 / $1,590.91 / $1,835.90	Professional		$1,196.64	$1,590.91	$1,835.90
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 $1,136.92 / $1,707.23 / $2,655.69	Professional		$1,136.92	$1,707.23	$2,655.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,821.30 / $2,142.69 / $2,228.40	Professional		$1,821.30	$2,142.69	$2,228.40