Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.98 / $727.15 / $727.15	Facility		$508.98	$727.15	$727.15
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $381.74 / $381.74 / $545.36	Facility	54	$381.74	$381.74	$545.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $570.89 / $2,250.00	Professional		$411.75	$570.89	$2,250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.40 / $1,376.09 / $1,924.38	Professional		$1,000.40	$1,376.09	$1,924.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.47 / $751.84 / $1,617.89	Facility		$432.47	$751.84	$1,617.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.63 / $1,223.74 / $3,567.28	Professional		$577.63	$1,223.74	$3,567.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,002.78 / $1,438.85 / $1,795.50	Facility		$1,002.78	$1,438.85	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $991.46 / $1,262.25 / $1,788.27	Professional		$991.46	$1,262.25	$1,788.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.88 / $923.77 / $1,278.92	Professional		$654.88	$923.77	$1,278.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.07 / $1,204.33 / $1,873.42	Professional		$717.07	$1,204.33	$1,873.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,059.09 / $1,101.50 / $1,525.00	Professional		$1,059.09	$1,101.50	$1,525.00