Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.60 / $672.60 / $672.60	Facility		$672.60	$672.60	$672.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $761.79 / $943.02	Professional		$672.60	$761.79	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.26 / $1,678.18 / $2,097.73	Professional		$1,671.26	$1,678.18	$2,097.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $898.51 / $1,136.69 / $1,994.14	Facility		$898.51	$1,136.69	$1,994.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $877.31 / $1,521.59 / $5,715.28	Professional		$877.31	$1,521.59	$5,715.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,294.00 / $2,092.17 / $5,090.60	Facility		$1,294.00	$2,092.17	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,210.00 / $1,713.04 / $2,144.96	Professional		$1,210.00	$1,713.04	$2,144.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $923.69 / $1,317.01 / $1,549.33	Professional		$923.69	$1,317.01	$1,549.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.31 / $1,599.14 / $2,086.44	Professional		$877.31	$1,599.14	$2,086.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,509.90 / $1,776.40 / $1,847.40	Professional		$1,509.90	$1,776.40	$1,847.40