Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.46 / $535.34 / $535.34	Facility		$505.46	$535.34	$535.34
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $379.10 / $379.10 / $401.51	Facility	54	$379.10	$379.10	$401.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $505.46 / $837.71	Professional		$449.58	$505.46	$837.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $1,223.19 / $1,528.98	Professional		$889.25	$1,223.19	$1,528.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $831.83 / $1,283.46	Facility		$649.17	$831.83	$1,283.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $1,185.74 / $3,960.88	Professional		$558.00	$1,185.74	$3,960.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $1,125.90 / $1,400.16	Facility		$230.01	$1,125.90	$1,400.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $867.00 / $1,118.79 / $1,400.16	Professional		$867.00	$1,118.79	$1,400.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $560.92 / $873.20 / $1,057.68	Professional		$560.92	$873.20	$1,057.68
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 $493.40 / $1,026.28 / $1,448.86	Professional		$493.40	$1,026.28	$1,448.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $992.80 / $1,214.70 / $1,283.80	Professional		$992.80	$1,214.70	$1,283.80