Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.40 / $1,090.40 / $1,090.40	Facility		$1,090.40	$1,090.40	$1,090.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.62 / $904.80 / $1,090.40	Professional		$802.62	$904.80	$1,090.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.66 / $2,175.78 / $2,719.73	Professional		$1,720.66	$2,175.78	$2,719.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.81 / $1,356.43 / $2,199.17	Facility		$1,094.81	$1,356.43	$2,199.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.60 / $696.00 / $5,965.74	Professional		$591.60	$696.00	$5,965.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,437.53 / $1,557.32 / $2,547.12	Facility		$1,437.53	$1,557.32	$2,547.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,393.15 / $1,499.30 / $2,547.12	Professional		$1,393.15	$1,499.30	$2,547.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,658.80 / $2,886.20 / $3,290.98	Professional		$1,658.80	$2,886.20	$3,290.98
United Facility/Professional Professional Modifier Low / Median / High Price $503.13 / $591.60 / $1,160.00	Professional		$503.13	$591.60	$1,160.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,197.94 / $1,197.94	Professional		$1,197.94	$1,197.94	$1,197.94