Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.58 / $647.58 / $3,511.00	Facility		$647.58	$647.58	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.71 / $647.58 / $1,951.18	Professional		$602.71	$647.58	$1,951.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.65 / $1,583.13 / $1,978.91	Professional		$1,564.65	$1,583.13	$1,978.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $849.45 / $1,094.41 / $1,840.63	Facility		$849.45	$1,094.41	$1,840.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $817.88 / $1,374.03 / $5,311.04	Professional		$817.88	$1,374.03	$5,311.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.63 / $1,762.63 / $2,225.42	Facility		$1,064.63	$1,762.63	$2,225.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,004.00 / $1,566.23 / $1,929.99	Professional		$1,004.00	$1,566.23	$1,929.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $824.05 / $1,183.38 / $1,392.13	Professional		$824.05	$1,183.38	$1,392.13
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 $817.88 / $1,363.14 / $1,960.84	Professional		$817.88	$1,363.14	$1,960.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,356.70 / $1,596.10 / $1,660.00	Professional		$1,356.70	$1,596.10	$1,660.00