Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.83 / $613.83 / $3,073.00	Facility		$613.83	$613.83	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.05 / $613.83 / $1,936.52	Professional		$571.05	$613.83	$1,936.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.72 / $1,537.16 / $1,921.46	Professional		$1,492.72	$1,537.16	$1,921.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.44 / $965.09 / $1,889.74	Facility		$668.44	$965.09	$1,889.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.08 / $1,347.22 / $5,074.88	Professional		$779.08	$1,347.22	$5,074.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,297.70 / $1,773.55 / $3,079.87	Facility		$1,297.70	$1,773.55	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,297.70 / $1,578.65 / $1,800.29	Professional		$1,297.70	$1,578.65	$1,800.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $842.45 / $1,163.74 / $1,326.79	Professional		$842.45	$1,163.74	$1,326.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.20 / $1,803.08 / $1,883.81	Professional		$885.20	$1,803.08	$1,883.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,521.20 / $1,582.10	Professional		$1,293.00	$1,521.20	$1,582.10