Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.25 / $1,047.25 / $3,511.00	Facility		$1,047.25	$1,047.25	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.98 / $1,047.25 / $1,695.20	Professional		$849.98	$1,047.25	$1,695.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,974.18 / $2,214.98 / $2,768.73	Professional		$1,974.18	$2,214.98	$2,768.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $849.98 / $1,292.43 / $2,328.94	Facility		$849.98	$1,292.43	$2,328.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.50 / $1,599.44 / $2,653.28	Professional		$831.50	$1,599.44	$2,653.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,709.21 / $2,013.98 / $2,777.32	Facility		$1,709.21	$2,013.98	$2,777.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,292.24 / $1,986.79 / $2,586.92	Professional		$1,292.24	$1,986.79	$2,586.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $975.95 / $1,384.94 / $1,846.90	Professional		$975.95	$1,384.94	$1,846.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $7,542.00	Facility		$3,143.00	$3,143.00	$7,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.99 / $1,681.19 / $2,538.37	Professional		$925.99	$1,681.19	$2,538.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,799.90 / $2,202.30 / $2,202.30	Professional		$1,799.90	$2,202.30	$2,202.30