Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.67 / $598.67 / $2,290.00	Facility		$598.67	$598.67	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.51 / $598.67 / $971.51	Professional		$489.51	$598.67	$971.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.66 / $1,281.61 / $1,602.02	Professional		$1,164.66	$1,281.61	$1,602.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.51 / $740.53 / $1,392.36	Facility		$489.51	$740.53	$1,392.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $980.23 / $1,675.00	Professional		$499.55	$980.23	$1,675.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $951.10 / $1,237.79 / $1,821.47	Facility		$951.10	$1,237.79	$1,821.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $1,237.79 / $1,479.62	Professional		$779.00	$1,237.79	$1,479.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.55 / $873.20 / $1,069.97	Professional		$575.55	$873.20	$1,069.97
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 $524.98 / $1,062.85 / $1,524.80	Professional		$524.98	$1,062.85	$1,524.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,042.80 / $1,275.80 / $1,275.80	Professional		$1,042.80	$1,275.80	$1,275.80