Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,548.13 / $9,120.11	Facility		$851.14	$3,548.13	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,778.28	Professional		$851.14	$977.24	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,691.53	Professional		$2,041.74	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,630.27	Facility		$1,122.02	$1,445.44	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $8,317.64	Professional		$870.96	$1,698.24	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,238.72	Professional		$1,949.84	$2,041.74	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,819.70	Professional		$1,230.27	$1,584.89	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $2,630.27	Professional		$1,023.29	$1,778.28	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Professional		$1,778.28	$2,089.30	$2,187.76