Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,680.00 / $3,680.00 / $3,680.00	Facility		$3,680.00	$3,680.00	$3,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,680.00 / $3,680.00	Professional		$3,128.00	$3,680.00	$3,680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $900.00	Facility		$720.00	$720.00	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $649.99 / $675.00	Professional		$540.00	$649.99	$675.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,310.82 / $2,818.08	Facility		$530.00	$2,310.82	$2,818.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $3,200.00 / $4,991.00	Professional		$2,720.00	$3,200.00	$4,991.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $666.24 / $728.87 / $817.26	Facility		$666.24	$728.87	$817.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.53 / $666.24 / $728.87	Professional		$636.53	$666.24	$728.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,520.00	Professional		$3,200.00	$3,200.00	$3,520.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00