Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $4,365.16	Facility		$478.63	$478.63	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $562.34	Professional		$407.38	$524.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,258.93	Professional		$1,023.29	$1,023.29	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $1,318.26	Facility		$645.65	$812.83	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $812.83 / $5,128.61	Professional		$416.87	$812.83	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Professional		$1,023.29	$1,023.29	$1,047.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $912.01	Professional		$630.96	$851.14	$912.01
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 $524.81 / $933.25 / $1,258.93	Professional		$524.81	$933.25	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,148.15	Professional		$933.25	$1,122.02	$1,148.15