Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.83 / $491.83 / $3,073.00	Facility		$491.83	$491.83	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.99 / $491.83 / $1,209.53	Professional		$414.99	$491.83	$1,209.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.86 / $1,110.22 / $1,387.77	Professional		$852.86	$1,110.22	$1,387.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.83 / $831.19 / $1,316.38	Facility		$647.83	$831.19	$1,316.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.75 / $1,024.51 / $3,700.56	Professional		$501.75	$1,024.51	$3,700.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.77 / $1,226.60 / $3,711.03	Facility		$912.77	$1,226.60	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $756.49 / $1,059.60 / $1,365.53	Professional		$756.49	$1,059.60	$1,365.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.95 / $849.99 / $996.87	Professional		$627.95	$849.99	$996.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.65 / $975.72 / $1,367.77	Professional		$536.65	$975.72	$1,367.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $988.90 / $1,210.00 / $1,210.00	Professional		$988.90	$1,210.00	$1,210.00