Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.13 / $344.13 / $3,073.00	Facility		$344.13	$344.13	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.57 / $344.13 / $365.45	Professional		$312.57	$344.13	$365.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.35 / $831.30 / $1,039.11	Professional		$604.35	$831.30	$1,039.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.44 / $566.01 / $1,017.70	Facility		$369.44	$566.01	$1,017.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.89 / $704.58 / $4,015.48	Professional		$388.89	$704.58	$4,015.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $544.54 / $908.97 / $3,285.23	Facility		$544.54	$908.97	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $544.54 / $828.98 / $1,006.34	Professional		$544.54	$828.98	$1,006.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $414.42 / $617.91 / $740.70	Professional		$414.42	$617.91	$740.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $5,484.78	Facility		$2,714.00	$2,714.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $648.30 / $1,008.48	Professional		$361.57	$648.30	$1,008.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $734.80 / $899.10 / $899.10	Professional		$734.80	$899.10	$899.10