Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.40 / $725.40 / $725.40	Facility		$725.40	$725.40	$725.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.14 / $725.40 / $2,392.84	Professional		$678.14	$725.40	$2,392.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,809.52 / $1,810.63 / $2,263.29	Professional		$1,809.52	$1,810.63	$2,263.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.74 / $1,225.93 / $2,161.44	Facility		$969.74	$1,225.93	$2,161.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.74 / $1,614.80 / $6,172.08	Professional		$922.74	$1,614.80	$6,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,193.77 / $4,114.05	Facility		$1,403.00	$2,193.77	$4,114.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,308.00 / $1,854.76 / $2,316.71	Professional		$1,308.00	$1,854.76	$2,316.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $974.59 / $1,423.14 / $1,674.18	Professional		$974.59	$1,423.14	$1,674.18
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 $922.74 / $1,537.90 / $2,255.62	Professional		$922.74	$1,537.90	$2,255.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,631.60 / $1,919.50 / $1,996.30	Professional		$1,631.60	$1,919.50	$1,996.30