Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,288.25 / $4,365.16	Facility		$109.65	$1,288.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,000.00 / $2,041.74	Professional		$114.82	$1,000.00	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,778.28 / $3,630.78	Professional		$213.80	$1,778.28	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,096.48 / $2,570.40	Facility		$114.82	$1,096.48	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $9,120.11	Professional		$1,023.29	$1,737.80	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $3,019.95	Professional		$257.04	$288.40	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $2,398.83	Professional		$251.19	$251.19	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,318.26 / $2,344.23	Professional		$169.82	$1,318.26	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $691.83 / $2,570.40	Professional		$151.36	$691.83	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $2,818.38	Professional		$229.09	$275.42	$2,818.38