Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $549.92 / $549.92	Facility		$169.42	$549.92	$549.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $484.35 / $549.92	Professional		$153.13	$484.35	$549.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $917.57 / $1,577.68	Professional		$368.87	$917.57	$1,577.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.99 / $480.74 / $1,029.83	Facility		$218.99	$480.74	$1,029.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.45 / $1,079.08 / $4,095.04	Professional		$647.45	$1,079.08	$4,095.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $448.48 / $1,156.80 / $1,989.25	Facility		$448.48	$1,156.80	$1,989.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $431.75 / $811.12 / $1,502.44	Professional		$431.75	$811.12	$1,502.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $658.92 / $1,045.39	Professional		$261.89	$658.92	$1,045.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.58 / $1,019.16 / $1,585.36	Professional		$513.58	$1,019.16	$1,585.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $348.50 / $426.40 / $1,268.90	Professional		$348.50	$426.40	$1,268.90