Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.20 / $733.20 / $733.20	Facility		$733.20	$733.20	$733.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.60 / $608.40 / $733.20	Professional		$522.60	$608.40	$733.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.97 / $1,554.97 / $1,554.97	Facility		$1,554.97	$1,554.97	$1,554.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.26 / $1,416.58 / $1,770.72	Professional		$1,120.26	$1,416.58	$1,770.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.16 / $883.19 / $1,431.92	Facility		$736.16	$883.19	$1,431.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $468.00 / $1,430.20	Professional		$397.80	$468.00	$1,430.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,006.54 / $1,430.20 / $1,733.38	Facility		$1,006.54	$1,430.20	$1,733.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,430.20 / $1,709.44	Professional		$936.00	$1,430.20	$1,709.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,115.40 / $1,879.25 / $2,142.82	Professional		$1,115.40	$1,879.25	$2,142.82
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $397.80 / $780.00	Professional		$327.60	$397.80	$780.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00