Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.53 / $480.53 / $480.53	Facility		$480.53	$480.53	$480.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.53 / $480.53 / $480.53	Professional		$480.53	$480.53	$480.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.16 / $928.28 / $1,160.34	Professional		$593.16	$928.28	$1,160.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.47 / $578.83 / $2,428.19	Facility		$482.47	$578.83	$2,428.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $460.08 / $766.80	Professional		$260.70	$460.08	$766.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $894.60 / $1,006.04	Facility		$613.44	$894.60	$1,006.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $894.60 / $1,120.33	Professional		$613.44	$894.60	$1,120.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $1,231.63 / $1,404.37	Professional		$511.20	$1,231.63	$1,404.37
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $306.72 / $613.44	Professional		$214.70	$306.72	$613.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $511.20 / $511.20	Professional		$511.20	$511.20	$511.20