Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.24 / $873.24 / $873.24	Facility		$873.24	$873.24	$873.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.84 / $873.24 / $1,424.50	Professional		$712.84	$873.24	$1,424.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.37 / $1,866.72 / $2,333.40	Professional		$1,696.37	$1,866.72	$2,333.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.84 / $1,085.03 / $1,996.37	Facility		$712.84	$1,085.03	$1,996.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.40 / $1,412.82 / $2,387.96	Professional		$721.40	$1,412.82	$2,387.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,481.39 / $1,770.24 / $2,486.12	Facility		$1,481.39	$1,770.24	$2,486.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,094.00 / $1,770.24 / $2,165.38	Professional		$1,094.00	$1,770.24	$2,165.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $820.77 / $1,246.27 / $1,562.91	Professional		$820.77	$1,246.27	$1,562.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.80 / $1,515.26 / $2,197.71	Professional		$821.80	$1,515.26	$2,197.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,523.20 / $1,863.60 / $1,863.60	Professional		$1,523.20	$1,863.60	$1,863.60