Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.80 / $1,000.80 / $1,000.80	Facility		$1,000.80	$1,000.80	$1,000.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.58 / $1,000.80 / $2,623.13	Professional		$856.58	$1,000.80	$2,623.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.24 / $2,308.46 / $2,885.59	Professional		$1,678.24	$2,308.46	$2,885.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.11 / $1,556.78 / $2,781.17	Facility		$1,213.11	$1,556.78	$2,781.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,812.47 / $9,251.14	Professional		$960.78	$1,812.47	$9,251.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,339.55 / $2,317.25 / $3,385.04	Facility		$1,339.55	$2,317.25	$3,385.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.55 / $1,892.77 / $2,929.75	Professional		$1,339.55	$1,892.77	$2,929.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.76 / $1,868.24 / $2,169.69	Professional		$1,125.76	$1,868.24	$2,169.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,772.76 / $2,819.40	Professional		$960.78	$1,772.76	$2,819.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,152.40 / $2,633.60 / $2,633.60	Professional		$2,152.40	$2,633.60	$2,633.60