Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $785.15 / $4,338.00	Facility		$785.15	$785.15	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.70 / $785.15 / $1,306.93	Professional		$646.70	$785.15	$1,306.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.64 / $1,620.53 / $2,025.66	Professional		$1,472.64	$1,620.53	$2,025.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.70 / $982.11 / $1,940.97	Facility		$646.70	$982.11	$1,940.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $702.81 / $1,344.58 / $2,335.29	Professional		$702.81	$1,344.58	$2,335.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,387.25 / $1,723.96 / $2,125.04	Facility		$1,387.25	$1,723.96	$2,125.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,731.24 / $2,038.18	Professional		$1,021.00	$1,731.24	$2,038.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $792.10 / $1,146.74 / $1,224.04	Professional		$792.10	$1,146.74	$1,224.04
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 $743.32 / $1,350.28 / $2,091.57	Professional		$743.32	$1,350.28	$2,091.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,329.60 / $1,626.80 / $1,626.80	Professional		$1,329.60	$1,626.80	$1,626.80