Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $635.24 / $1,197.53	Facility		$305.00	$635.24	$1,197.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $577.53 / $1,143.20	Professional		$305.00	$577.53	$1,143.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.87 / $894.99 / $1,863.02	Professional		$692.87	$894.99	$1,863.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.11 / $821.00 / $1,587.19	Facility		$422.11	$821.00	$1,587.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.85 / $1,416.22 / $4,767.04	Professional		$596.85	$1,416.22	$4,767.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $574.51 / $968.80 / $1,655.81	Facility		$574.51	$968.80	$1,655.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $692.87 / $1,127.23 / $1,655.81	Professional		$692.87	$1,127.23	$1,655.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $523.50 / $926.50 / $1,242.69	Professional		$523.50	$926.50	$1,242.69
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.40 / $1,224.35 / $1,751.34	Professional		$673.40	$1,224.35	$1,751.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $564.40 / $690.60 / $1,393.50	Professional		$564.40	$690.60	$1,393.50