Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.35 / $515.35 / $3,511.00	Facility		$515.35	$515.35	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.89 / $515.35 / $1,638.08	Professional		$478.89	$515.35	$1,638.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.34 / $1,287.84 / $1,609.82	Professional		$1,250.34	$1,287.84	$1,609.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.81 / $870.94 / $1,587.30	Facility		$684.81	$870.94	$1,587.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.70 / $1,131.16 / $5,158.00	Professional		$678.70	$1,131.16	$5,158.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $1,493.50 / $3,079.87	Facility		$1,002.00	$1,493.50	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $1,250.34 / $1,512.05	Professional		$1,030.00	$1,250.34	$1,512.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.70 / $948.05 / $1,111.36	Professional		$712.70	$948.05	$1,111.36
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 $678.70 / $1,131.16 / $1,589.76	Professional		$678.70	$1,131.16	$1,589.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,083.09 / $1,274.20 / $1,325.20	Professional		$1,083.09	$1,274.20	$1,325.20