Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.23 / $492.23 / $492.23	Facility		$492.23	$492.23	$492.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.04 / $492.23 / $492.23	Professional		$454.04	$492.23	$492.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.80 / $1,008.16 / $1,260.19	Professional		$950.80	$1,008.16	$1,260.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.82 / $767.33 / $1,348.94	Facility		$473.82	$767.33	$1,348.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.33 / $953.88 / $3,464.64	Professional		$572.33	$953.88	$3,464.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.86 / $1,149.55 / $1,505.83	Facility		$977.86	$1,149.55	$1,505.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $885.26 / $1,105.06 / $1,430.77	Professional		$885.26	$1,105.06	$1,430.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $617.14 / $815.92 / $930.24	Professional		$617.14	$815.92	$930.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.33 / $1,001.57 / $1,311.02	Professional		$572.33	$1,001.57	$1,311.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $959.50 / $1,128.80 / $1,174.00	Professional		$959.50	$1,128.80	$1,174.00