Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $6,918.31	Facility		$208.93	$371.54	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $562.34	Professional		$208.93	$331.13	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,122.02	Professional		$363.08	$645.65	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $812.83	Facility		$190.55	$354.81	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $2,818.38	Professional		$302.00	$562.34	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $933.25	Professional		$478.63	$537.03	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $660.69	Professional		$436.52	$436.52	$660.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $724.44	Professional		$323.59	$457.09	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $794.33	Professional		$251.19	$416.87	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $870.96	Professional		$426.58	$524.81	$870.96