Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $145.12 / $950.00	Professional		$145.12	$145.12	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.92 / $960.92 / $960.92	Facility		$960.92	$960.92	$960.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.81 / $876.06 / $1,095.07	Professional		$692.81	$876.06	$1,095.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.04 / $545.91 / $885.10	Facility		$455.04	$545.91	$885.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $124.39 / $948.82	Professional		$105.73	$124.39	$948.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $881.72 / $1,056.65	Facility		$622.16	$881.72	$1,056.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $881.72 / $1,056.65	Professional		$578.57	$881.72	$1,056.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $689.46 / $1,161.61 / $1,324.54	Professional		$689.46	$1,161.61	$1,324.54
United Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $186.58 / $207.31	Professional		$105.73	$186.58	$207.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $482.14 / $482.14	Professional		$482.14	$482.14	$482.14