Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.00 / $2,290.00 / $4,338.00	Facility		$2,290.00	$2,290.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $9.38 / $11.72	Professional		$9.38	$9.38	$11.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $8.36 / $80.00	Facility		$3.53	$8.36	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.70 / $10.91	Professional		$1.53	$2.70	$10.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.97 / $11.57	Facility		$4.20	$4.97	$11.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.97 / $10.30	Professional		$3.30	$4.97	$10.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $21.23 / $24.97	Professional		$4.80	$21.23	$24.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.70 / $4.50	Professional		$1.53	$2.70	$4.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Professional		$9.09	$9.09	$9.09