Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $462.39 / $462.39	Facility		$309.45	$462.39	$462.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.11 / $388.48 / $858.42	Professional		$263.11	$388.48	$858.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.99 / $884.28 / $1,293.31	Professional		$628.99	$884.28	$1,293.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.66 / $656.53 / $1,064.44	Facility		$444.66	$656.53	$1,064.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $1,059.52 / $3,369.12	Professional		$456.30	$1,059.52	$3,369.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $627.87 / $769.84 / $1,195.29	Facility		$627.87	$769.84	$1,195.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $628.99 / $805.08 / $1,195.29	Professional		$628.99	$805.08	$1,195.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.02 / $602.26 / $866.85	Professional		$449.02	$602.26	$866.85
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 $506.26 / $901.42 / $1,286.57	Professional		$506.26	$901.42	$1,286.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.50 / $731.00 / $1,052.20	Professional		$597.50	$731.00	$1,052.20