Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.47 / $629.47 / $4,338.00	Facility		$629.47	$629.47	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.95 / $625.29 / $629.47	Professional		$530.95	$625.29	$629.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.36 / $1,453.02 / $1,816.28	Professional		$1,370.36	$1,453.02	$1,816.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.36 / $897.31 / $1,773.72	Facility		$632.36	$897.31	$1,773.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $1,256.26 / $4,799.12	Professional		$715.42	$1,256.26	$4,799.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,055.57 / $1,875.02 / $24,839.97	Facility		$1,055.57	$1,875.02	$24,839.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,245.72 / $1,600.51 / $2,422.01	Professional		$1,245.72	$1,600.51	$2,422.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $882.27 / $1,100.76 / $1,254.99	Professional		$882.27	$1,100.76	$1,254.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.76 / $1,256.26 / $1,766.44	Professional		$753.76	$1,256.26	$1,766.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.09 / $1,438.90 / $1,496.50	Professional		$1,223.09	$1,438.90	$1,496.50