Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.95 / $549.95 / $2,290.00	Facility		$549.95	$549.95	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.89 / $549.95 / $1,524.59	Professional		$459.89	$549.95	$1,524.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,252.01 / $1,565.02	Professional		$1,193.58	$1,252.01	$1,565.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.27 / $901.96 / $1,517.10	Facility		$562.27	$901.96	$1,517.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.74 / $1,081.24 / $4,641.26	Professional		$648.74	$1,081.24	$4,641.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $1,446.71 / $2,440.29	Facility		$856.00	$1,446.71	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,193.58 / $1,490.43	Professional		$776.00	$1,193.58	$1,490.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $669.02 / $908.59 / $1,060.92	Professional		$669.02	$908.59	$1,060.92
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 $648.74 / $969.91 / $1,508.75	Professional		$648.74	$969.91	$1,508.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,033.90 / $1,216.40 / $1,265.00	Professional		$1,033.90	$1,216.40	$1,265.00