Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.44 / $665.44 / $665.44	Facility		$665.44	$665.44	$665.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.67 / $665.44 / $1,091.32	Professional		$545.67	$665.44	$1,091.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.83 / $1,435.88 / $1,794.85	Professional		$1,304.83	$1,435.88	$1,794.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.67 / $783.87 / $1,655.60	Facility		$545.67	$783.87	$1,655.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.80 / $1,128.26 / $1,977.14	Professional		$544.80	$1,128.26	$1,977.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.00 / $1,455.31 / $1,795.50	Facility		$1,001.00	$1,455.31	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.46 / $1,459.52 / $1,656.17	Professional		$853.46	$1,459.52	$1,656.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.69 / $1,025.01 / $1,205.82	Professional		$630.69	$1,025.01	$1,205.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.86 / $1,084.08 / $1,755.07	Professional		$576.86	$1,084.08	$1,755.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,175.09 / $1,437.80 / $1,437.80	Professional		$1,175.09	$1,437.80	$1,437.80