Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.55 / $798.55 / $798.55	Facility		$798.55	$798.55	$798.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.07 / $798.55 / $2,425.71	Professional		$720.07	$798.55	$2,425.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.77 / $1,890.88 / $2,363.59	Professional		$1,842.77	$1,890.88	$2,363.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.70 / $1,349.55 / $2,271.07	Facility		$1,029.70	$1,349.55	$2,271.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,691.78 / $6,353.45	Professional		$1,015.07	$1,691.78	$6,353.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $2,085.65 / $2,571.62	Facility		$1,322.94	$2,085.65	$2,571.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,402.00 / $1,842.77 / $2,231.44	Professional		$1,402.00	$1,842.77	$2,231.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.06 / $1,414.53 / $1,637.95	Professional		$1,053.06	$1,414.53	$1,637.95
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 $1,088.76 / $1,772.34 / $2,347.96	Professional		$1,088.76	$1,772.34	$2,347.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,624.90 / $1,911.70 / $1,988.10	Professional		$1,624.90	$1,911.70	$1,988.10