Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.33 / $531.92 / $531.92	Facility		$485.33	$531.92	$531.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.00 / $364.00 / $398.95	Facility	54	$364.00	$364.00	$398.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $508.84 / $1,160.95	Professional		$408.43	$508.84	$1,160.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.49 / $1,208.23 / $1,510.48	Professional		$878.49	$1,208.23	$1,510.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.67 / $820.21 / $1,251.65	Facility		$642.67	$820.21	$1,251.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $1,176.75 / $3,926.40	Professional		$550.79	$1,176.75	$3,926.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $1,080.05 / $1,394.04	Facility		$230.01	$1,080.05	$1,394.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $857.00 / $1,085.10 / $1,394.04	Professional		$857.00	$1,085.10	$1,394.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $631.44 / $865.66 / $1,046.68	Professional		$631.44	$865.66	$1,046.68
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 $487.02 / $936.69 / $1,436.57	Professional		$487.02	$936.69	$1,436.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $952.40 / $1,165.20 / $1,270.50	Professional		$952.40	$1,165.20	$1,270.50