Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.16 / $522.16 / $3,073.00	Facility		$522.16	$522.16	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.18 / $522.16 / $522.16	Professional		$440.18	$522.16	$522.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.98 / $1,206.05 / $1,507.56	Professional		$1,095.98	$1,206.05	$1,507.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $521.79 / $743.90 / $1,465.72	Facility		$521.79	$743.90	$1,465.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.05 / $978.82 / $3,967.20	Professional		$557.05	$978.82	$3,967.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $872.27 / $1,316.21 / $3,711.03	Facility		$872.27	$1,316.21	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,030.23 / $1,100.09 / $1,441.72	Professional		$1,030.23	$1,100.09	$1,441.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $726.74 / $908.97 / $1,036.33	Professional		$726.74	$908.97	$1,036.33
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 $694.54 / $1,129.97 / $1,376.40	Professional		$694.54	$1,129.97	$1,376.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,188.20 / $1,235.70	Professional		$1,010.00	$1,188.20	$1,235.70