Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $4,365.16	Facility		$1,000.00	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,778.28	Professional		$870.96	$1,096.48	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,754.23	Professional		$1,949.84	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,238.72	Facility		$691.83	$1,174.90	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $6,918.31	Professional		$758.58	$1,230.27	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,778.28	Professional		$831.76	$1,380.38	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,344.23	Professional		$812.83	$1,513.56	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96