Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $256.41 / $2,290.00	Facility		$256.41	$256.41	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.34 / $256.41 / $263.82	Professional		$230.34	$256.41	$263.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.85 / $620.16 / $775.20	Professional		$450.85	$620.16	$775.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $389.27 / $631.13	Facility		$224.89	$389.27	$631.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $469.85 / $1,992.40	Professional		$248.71	$469.85	$1,992.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.30 / $659.88 / $3,285.23	Facility		$347.30	$659.88	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $532.91 / $734.95	Professional		$320.00	$532.91	$734.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $392.65 / $539.51	Professional		$271.60	$392.65	$539.51
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 $248.71 / $469.85 / $730.88	Professional		$248.71	$469.85	$730.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $654.90 / $654.90	Professional		$535.20	$654.90	$654.90