Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.42 / $971.42 / $3,073.00	Facility		$971.42	$971.42	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.65 / $971.42 / $2,406.30	Professional		$821.65	$971.42	$2,406.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,713.51 / $2,230.56 / $2,788.20	Professional		$1,713.51	$2,230.56	$2,788.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.47 / $1,641.70 / $2,652.07	Facility		$1,292.47	$1,641.70	$2,652.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.13 / $2,068.16 / $7,389.44	Professional		$960.13	$2,068.16	$7,389.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,526.79 / $2,450.55 / $7,260.61	Facility		$1,526.79	$2,450.55	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,526.79 / $2,109.78 / $2,705.71	Professional		$1,526.79	$2,109.78	$2,705.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,694.18 / $1,982.75	Professional		$1,244.00	$1,694.18	$1,982.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.32 / $1,969.68 / $2,774.88	Professional		$1,083.32	$1,969.68	$2,774.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,967.00 / $2,406.60 / $2,406.60	Professional		$1,967.00	$2,406.60	$2,406.60