Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,511.89 / $4,677.35	Facility		$288.40	$2,511.89	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $870.96	Professional		$169.82	$371.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,122.02	Professional		$288.40	$501.19	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $363.08 / $1,047.13	Facility		$173.78	$363.08	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $2,818.38	Professional		$245.47	$588.84	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $933.25	Professional		$338.84	$436.52	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $489.78	Professional		$229.09	$229.09	$489.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $741.31	Professional		$251.19	$446.68	$741.31
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 $223.87 / $416.87 / $851.14	Professional		$223.87	$416.87	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $891.25	Professional		$338.84	$407.38	$891.25