Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $794.33 / $4,365.16	Facility		$194.98	$794.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $691.83 / $1,258.93	Professional		$194.98	$691.83	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $2,290.87	Professional		$354.81	$588.84	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $691.83 / $1,995.26	Facility		$204.17	$691.83	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $5,754.40	Professional		$912.01	$1,445.44	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $2,041.74	Professional		$446.68	$512.86	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,819.70	Professional		$436.52	$436.52	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,096.48 / $1,548.82	Professional		$338.84	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $660.69 / $1,949.84	Professional		$263.03	$660.69	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,778.28	Professional		$389.05	$478.63	$1,778.28