Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.83 / $826.83 / $3,073.00	Facility		$826.83	$826.83	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.25 / $826.83 / $2,510.11	Professional		$745.25	$826.83	$2,510.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,909.01 / $1,957.10 / $2,446.37	Professional		$1,909.01	$1,957.10	$2,446.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.71 / $1,397.34 / $2,336.05	Facility		$1,065.71	$1,397.34	$2,336.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,045.86 / $1,743.12 / $6,500.16	Professional		$1,045.86	$1,743.12	$6,500.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $2,285.14 / $4,555.17	Facility		$1,507.00	$2,285.14	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,483.00 / $1,909.01 / $2,313.11	Professional		$1,483.00	$1,909.01	$2,313.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,092.84 / $1,454.56 / $1,696.82	Professional		$1,092.84	$1,454.56	$1,696.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.86 / $1,734.28 / $2,433.54	Professional		$1,045.86	$1,734.28	$2,433.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,683.30 / $1,980.40 / $2,059.60	Professional		$1,683.30	$1,980.40	$2,059.60