Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $4,365.16	Facility		$912.01	$912.01	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,071.52	Professional		$851.14	$954.99	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,691.53	Professional		$2,089.30	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,511.89	Facility		$1,122.02	$1,380.38	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $7,585.78	Professional		$870.96	$1,659.59	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,187.76	Professional		$2,041.74	$2,089.30	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $1,949.84	Professional		$1,122.02	$1,737.80	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $2,570.40	Professional		$1,000.00	$1,819.70	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83