Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $923.00 / $923.00	Facility		$923.00	$923.00	$923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $923.00 / $965.27	Professional		$784.55	$923.00	$965.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,403.88 / $2,276.12	Facility		$923.00	$1,403.88	$2,276.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $876.85	Professional		$769.17	$769.17	$876.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,040.60 / $1,040.60 / $1,214.05	Facility		$1,040.60	$1,040.60	$1,214.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,821.97 / $4,821.97 / $4,821.97	Professional		$4,821.97	$4,821.97	$4,821.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,707.30 / $4,707.30 / $4,707.30	Professional		$4,707.30	$4,707.30	$4,707.30
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $846.09	Professional		$769.17	$769.17	$846.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,615.00 / $4,615.00 / $4,615.00	Professional		$4,615.00	$4,615.00	$4,615.00