Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.55 / $644.55 / $3,073.00	Facility		$644.55	$644.55	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.55 / $644.55 / $1,615.42	Professional		$545.55	$644.55	$1,615.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.16 / $1,476.39 / $1,845.49	Professional		$1,134.16	$1,476.39	$1,845.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,108.85 / $1,685.85	Facility		$821.00	$1,108.85	$1,685.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.77 / $1,336.00 / $4,956.56	Professional		$686.77	$1,336.00	$4,956.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,520.79 / $1,815.74	Facility		$953.00	$1,520.79	$1,815.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $997.29 / $1,431.43 / $1,825.51	Professional		$997.29	$1,431.43	$1,825.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $811.37 / $1,126.20 / $1,329.40	Professional		$811.37	$1,126.20	$1,329.40
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.77 / $1,207.94 / $1,879.02	Professional		$686.77	$1,207.94	$1,879.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,314.30 / $1,608.10 / $1,608.10	Professional		$1,314.30	$1,608.10	$1,608.10