Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.76 / $897.76 / $897.76	Facility		$897.76	$897.76	$897.76
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $673.32 / $673.32 / $673.32	Facility	54	$673.32	$673.32	$673.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $721.88 / $1,337.84	Professional		$656.25	$721.88	$1,337.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.23 / $1,901.78 / $2,377.23	Professional		$1,728.23	$1,901.78	$2,377.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,049.26 / $2,001.38	Facility		$730.43	$1,049.26	$2,001.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.49 / $1,434.71 / $2,389.09	Professional		$730.49	$1,434.71	$2,389.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,541.15 / $1,786.01 / $2,125.04	Facility		$1,541.15	$1,786.01	$2,125.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.14 / $1,779.07 / $2,219.42	Professional		$1,163.14	$1,779.07	$2,219.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $1,245.69 / $1,587.49	Professional		$837.35	$1,245.69	$1,587.49
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 $689.91 / $1,368.13 / $2,231.77	Professional		$689.91	$1,368.13	$2,231.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.10 / $1,892.90 / $1,892.90	Professional		$1,547.10	$1,892.90	$1,892.90