Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $128.16 / $128.16	Facility		$128.16	$128.16	$128.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $128.16 / $128.16	Professional		$121.63	$128.16	$128.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,989.38 / $1,989.38 / $2,486.71	Professional		$1,989.38	$1,989.38	$2,486.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $205.55 / $2,921.96	Facility		$173.93	$205.55	$2,921.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.09 / $2,170.19 / $2,387.21	Professional		$608.09	$2,170.19	$2,387.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $365.48 / $608.09	Facility		$230.63	$365.48	$608.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $608.09 / $792.32	Professional		$230.96	$608.09	$792.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,083.58 / $1,083.58 / $1,083.58	Professional		$1,083.58	$1,083.58	$1,083.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,844.67 / $2,170.19 / $2,387.21	Professional		$1,844.67	$2,170.19	$2,387.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,147.32 / $1,147.32 / $1,147.32	Professional		$1,147.32	$1,147.32	$1,147.32