Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $376.98 / $4,338.00	Facility		$376.98	$376.98	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $376.98 / $411.17	Professional		$341.18	$376.98	$411.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.76 / $900.64 / $1,125.80	Professional		$654.76	$900.64	$1,125.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $393.29 / $637.10 / $1,150.06	Facility		$393.29	$637.10	$1,150.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.63 / $787.84 / $3,345.14	Professional		$494.63	$787.84	$3,345.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $644.87 / $1,022.74 / $6,355.01	Facility		$644.87	$1,022.74	$6,355.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $644.87 / $877.73 / $1,074.88	Professional		$644.87	$877.73	$1,074.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $684.28 / $780.16	Professional		$457.42	$684.28	$780.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.86 / $734.65 / $1,141.95	Professional		$497.86	$734.65	$1,141.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $947.00 / $947.00	Professional		$774.00	$947.00	$947.00