Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.52 / $457.52 / $2,290.00	Facility		$457.52	$457.52	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $457.52 / $714.93	Professional		$387.04	$457.52	$714.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.78 / $1,050.23 / $1,312.78	Professional		$806.78	$1,050.23	$1,312.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.10 / $703.48 / $1,142.61	Facility		$552.10	$703.48	$1,142.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $898.13 / $3,389.04	Professional		$432.38	$898.13	$3,389.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $719.53 / $1,185.85 / $1,969.98	Facility		$719.53	$1,185.85	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $912.91 / $1,205.77	Professional		$655.84	$912.91	$1,205.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $540.04 / $746.81 / $906.31	Professional		$540.04	$746.81	$906.31
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 $391.43 / $693.05 / $1,224.27	Professional		$391.43	$693.05	$1,224.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $899.10 / $1,100.09 / $1,100.09	Professional		$899.10	$1,100.09	$1,100.09