Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.30 / $477.30 / $3,073.00	Facility		$477.30	$477.30	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.49 / $477.30 / $1,220.84	Professional		$408.49	$477.30	$1,220.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.07 / $1,107.88 / $1,384.85	Professional		$851.07	$1,107.88	$1,384.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.14 / $728.00 / $1,261.26	Facility		$584.14	$728.00	$1,261.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.09 / $968.23 / $3,665.92	Professional		$460.09	$968.23	$3,665.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $878.87 / $1,212.48 / $2,173.59	Facility		$878.87	$1,212.48	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,024.51 / $1,353.31	Professional		$696.00	$1,024.51	$1,353.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $611.11 / $857.12 / $1,013.69	Professional		$611.11	$857.12	$1,013.69
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 $507.17 / $968.23 / $1,308.89	Professional		$507.17	$968.23	$1,308.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,005.60 / $1,230.40 / $1,230.40	Professional		$1,005.60	$1,230.40	$1,230.40