Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.05 / $652.05 / $4,338.00	Facility		$652.05	$652.05	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.44 / $652.05 / $962.30	Professional		$602.44	$652.05	$962.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $1,239.71 / $1,527.53	Professional		$1,222.02	$1,239.71	$1,527.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.41 / $1,018.12 / $1,650.69	Facility		$637.41	$1,018.12	$1,650.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.71 / $1,259.52 / $4,016.73	Professional		$755.71	$1,259.52	$4,016.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,245.70 / $1,401.37 / $1,660.38	Facility		$1,245.70	$1,401.37	$1,660.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,194.73 / $1,417.48 / $1,731.83	Professional		$1,194.73	$1,417.48	$1,731.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $837.08 / $1,098.49 / $1,252.40	Professional		$837.08	$1,098.49	$1,252.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.71 / $1,139.38 / $1,329.28	Professional		$774.71	$1,139.38	$1,329.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,291.80 / $1,519.80 / $1,580.60	Professional		$1,291.80	$1,519.80	$1,580.60