Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.72 / $461.72 / $3,073.00	Facility		$461.72	$461.72	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $461.72 / $1,090.07	Professional		$387.80	$461.72	$1,090.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.95 / $1,063.47 / $1,329.34	Professional		$816.95	$1,063.47	$1,329.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.07 / $756.61 / $1,201.84	Facility		$557.07	$756.61	$1,201.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.86 / $939.50 / $4,940.10	Professional		$442.86	$939.50	$4,940.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.12 / $1,141.56 / $2,173.59	Facility		$861.12	$1,141.56	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.77 / $959.93 / $1,238.23	Professional		$690.77	$959.93	$1,238.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $559.01 / $764.91 / $899.84	Professional		$559.01	$764.91	$899.84
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 $492.12 / $894.76 / $1,327.79	Professional		$492.12	$894.76	$1,327.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $892.70 / $1,092.20 / $1,092.20	Professional		$892.70	$1,092.20	$1,092.20