Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $4,365.16	Facility		$288.40	$288.40	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $338.84	Professional		$251.19	$288.40	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $741.31	Facility		$346.74	$407.38	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $2,041.74	Professional		$251.19	$489.78	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $645.65	Professional		$616.60	$616.60	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $549.54	Professional		$363.08	$478.63	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $758.58	Professional		$295.12	$537.03	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Professional		$562.34	$660.69	$691.83