Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $562.34 / $4,365.16	Facility		$501.19	$562.34	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $977.24	Professional		$467.74	$537.03	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,621.81	Professional		$851.14	$1,318.26	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,258.93	Facility		$660.69	$851.14	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,096.48 / $4,073.80	Professional		$478.63	$1,096.48	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,174.90	Professional		$1,000.00	$1,071.52	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,122.02	Professional		$575.44	$912.01	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,445.44	Professional		$549.54	$954.99	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,318.26	Professional		$1,000.00	$1,202.26	$1,318.26