Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $761.60 / $761.60	Facility		$151.72	$761.60	$761.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $662.43 / $1,314.58	Professional		$151.72	$662.43	$1,314.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.17 / $448.96 / $2,129.86	Professional		$359.17	$448.96	$2,129.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.30 / $701.07 / $1,895.76	Facility		$196.30	$701.07	$1,895.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.52 / $1,626.43 / $5,505.44	Professional		$833.52	$1,626.43	$5,505.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $1,387.25 / $1,979.28	Facility		$397.55	$1,387.25	$1,979.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $1,460.88 / $1,979.28	Professional		$352.26	$1,460.88	$1,979.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $266.14 / $1,045.63 / $1,402.48	Professional		$266.14	$1,045.63	$1,402.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.06 / $1,357.38 / $2,111.48	Professional		$764.06	$1,357.38	$2,111.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $380.00 / $1,702.30	Professional		$310.60	$380.00	$1,702.30