Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.64 / $1,223.64 / $1,223.64	Facility		$1,223.64	$1,223.64	$1,223.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,137.49 / $1,223.64	Professional		$1,015.62	$1,137.49	$1,223.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $393.90 / $487.50	Professional		$390.00	$393.90	$487.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $1,399.84 / $3,017.51	Facility		$168.85	$1,399.84	$3,017.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $1,019.70 / $1,121.67	Professional		$140.71	$1,019.70	$1,121.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $198.45 / $1,383.87	Facility		$168.85	$198.45	$1,383.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $265.47 / $487.57	Professional		$168.85	$265.47	$487.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,121.67	Professional		$1,019.70	$1,019.70	$1,121.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Facility		$1,019.70	$1,019.70	$1,019.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70