Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.14 / $1,207.14 / $4,338.00	Facility		$1,207.14	$1,207.14	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.72 / $1,207.14 / $2,138.42	Professional		$1,133.72	$1,207.14	$2,138.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,356.92 / $2,593.62 / $3,242.03	Professional		$2,356.92	$2,593.62	$3,242.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.82 / $1,421.00 / $3,235.60	Facility		$853.82	$1,421.00	$3,235.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.28 / $2,063.75 / $3,278.99	Professional		$1,067.28	$2,063.75	$3,278.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,129.79 / $2,646.73 / $3,444.47	Facility		$2,129.79	$2,646.73	$3,444.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,773.41 / $2,677.65 / $3,010.88	Professional		$1,773.41	$2,677.65	$3,010.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,311.20 / $1,865.87 / $2,185.23	Professional		$1,311.20	$1,865.87	$2,185.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $421.45 / $421.45 / $421.45	Professional	80	$421.45	$421.45	$421.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.53 / $2,059.57 / $3,210.28	Professional		$1,112.53	$2,059.57	$3,210.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,129.60 / $2,605.69 / $2,605.69	Professional		$2,129.60	$2,605.69	$2,605.69