Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $4,365.16	Facility		$954.99	$954.99	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,479.11	Professional		$870.96	$977.24	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $3,019.95	Professional		$2,344.23	$2,398.83	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,754.23	Facility		$1,288.25	$1,621.81	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $7,943.28	Professional		$977.24	$1,905.46	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $2,398.83	Professional		$2,187.76	$2,344.23	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,089.30	Professional		$1,258.93	$1,778.28	$2,089.30
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 $1,122.02 / $1,949.84 / $2,884.03	Professional		$1,122.02	$1,949.84	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,454.71	Professional		$2,041.74	$2,398.83	$2,454.71