Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.42 / $840.42 / $840.42	Facility		$840.42	$840.42	$840.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.28 / $840.42 / $2,549.82	Professional		$757.28	$840.42	$2,549.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,939.57 / $1,989.04 / $2,486.30	Professional		$1,939.57	$1,989.04	$2,486.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.91 / $1,420.31 / $2,372.96	Facility		$1,082.91	$1,420.31	$2,372.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,055.72 / $1,759.54 / $6,605.44	Professional		$1,055.72	$1,759.54	$6,605.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $2,194.46 / $2,706.15	Facility		$1,378.00	$2,194.46	$2,706.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $1,939.57 / $2,351.54	Professional		$1,482.00	$1,939.57	$2,351.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.42 / $1,477.19 / $1,723.99	Professional		$1,108.42	$1,477.19	$1,723.99
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 $1,145.46 / $2,365.73 / $2,471.67	Professional		$1,145.46	$2,365.73	$2,471.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,710.30 / $2,012.10 / $2,092.60	Professional		$1,710.30	$2,012.10	$2,092.60