Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.36 / $798.18 / $798.18	Facility		$630.36	$798.18	$798.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,903.55 / $1,903.55 / $1,903.55	Facility	50	$1,903.55	$1,903.55	$1,903.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $644.54 / $1,294.49	Professional		$519.99	$644.54	$1,294.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $839.01 / $839.01 / $839.01	Professional	50	$839.01	$839.01	$839.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.75 / $1,698.44 / $2,123.05	Professional		$1,234.75	$1,698.44	$2,123.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.53 / $929.64 / $1,781.27	Facility		$550.53	$929.64	$1,781.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $1,384.50 / $2,299.55	Professional		$641.74	$1,384.50	$2,299.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,143.30 / $1,541.97 / $1,961.45	Facility		$1,143.30	$1,541.97	$1,961.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,143.30 / $1,541.97 / $1,975.63	Professional		$1,143.30	$1,541.97	$1,975.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $1,145.01 / $1,418.65	Professional		$745.52	$1,145.01	$1,418.65
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 $776.52 / $1,347.47 / $2,073.73	Professional		$776.52	$1,347.47	$2,073.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,365.30 / $1,691.60	Professional		$1,312.80	$1,365.30	$1,691.60