Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.93 / $301.27 / $301.27	Facility		$180.93	$301.27	$301.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $263.32 / $398.12	Professional		$179.87	$263.32	$398.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.88 / $524.91 / $857.01	Professional		$419.88	$524.91	$857.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.08 / $423.62 / $787.79	Facility		$251.08	$423.62	$787.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.62 / $690.83 / $3,837.16	Professional		$321.62	$690.83	$3,837.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $690.83 / $3,929.20	Facility		$453.60	$690.83	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $580.23 / $837.10	Professional		$453.60	$580.23	$837.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $439.86 / $589.97	Professional		$303.20	$439.86	$589.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.57 / $554.24 / $862.15	Professional		$346.57	$554.24	$862.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $343.30 / $420.00 / $661.60	Professional		$343.30	$420.00	$661.60