Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,905.46 / $4,365.16	Facility		$181.97	$1,905.46	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,548.82 / $2,884.03	Professional		$169.82	$1,548.82	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,691.53 / $4,786.30	Professional		$380.19	$2,691.53	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,238.72 / $4,677.35	Facility		$239.88	$2,238.72	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $12,022.64	Professional		$1,659.59	$3,630.78	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $4,570.88	Professional		$380.19	$398.11	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,698.24 / $3,090.30	Professional		$288.40	$1,698.24	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $5,128.61	Professional		$204.17	$478.63	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $3,890.45	Professional		$354.81	$426.58	$3,890.45