Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $671.67 / $2,185.01	Facility		$139.12	$671.67	$2,185.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $596.90 / $751.42	Professional		$129.08	$596.90	$751.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $475.41 / $1,631.24	Professional		$286.67	$475.41	$1,631.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.51 / $612.30 / $1,321.34	Facility		$195.51	$612.30	$1,321.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $1,214.69 / $4,275.92	Professional		$516.89	$1,214.69	$4,275.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $1,070.89 / $1,907.64	Facility		$314.08	$1,070.89	$1,907.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $837.02 / $1,575.70	Professional		$298.39	$837.02	$1,575.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $773.77 / $1,090.03	Professional		$225.46	$773.77	$1,090.03
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 $716.22 / $1,117.80 / $1,664.38	Professional		$716.22	$1,117.80	$1,664.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $334.70 / $1,375.60	Professional		$273.60	$334.70	$1,375.60