Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.69 / $935.69 / $935.69	Facility		$935.69	$935.69	$935.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $935.69 / $1,525.73	Professional		$767.34	$935.69	$1,525.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.64 / $2,010.08 / $2,512.60	Professional		$1,826.64	$2,010.08	$2,512.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $767.34 / $1,102.28 / $2,294.37	Facility		$767.34	$1,102.28	$2,294.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $805.52 / $1,578.60 / $2,754.43	Professional		$805.52	$1,578.60	$2,754.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,572.28 / $2,029.99 / $3,141.50	Facility		$1,572.28	$2,029.99	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,271.00 / $2,029.99 / $2,320.32	Professional		$1,271.00	$2,029.99	$2,320.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $942.99 / $1,429.74 / $1,681.94	Professional		$942.99	$1,429.74	$1,681.94
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 $760.77 / $1,521.57 / $2,455.60	Professional		$760.77	$1,521.57	$2,455.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,639.20 / $2,005.60 / $2,005.60	Professional		$1,639.20	$2,005.60	$2,005.60