Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.42 / $408.42 / $408.42	Facility		$328.42	$408.42	$408.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $367.69 / $1,015.66	Professional		$295.79	$367.69	$1,015.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.55 / $969.01 / $1,214.42	Professional		$760.55	$969.01	$1,214.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.98 / $690.23 / $1,091.91	Facility		$422.98	$690.23	$1,091.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $1,140.05 / $6,131.15	Professional		$507.85	$1,140.05	$6,131.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $827.84 / $1,056.67 / $4,412.80	Facility		$827.84	$1,056.67	$4,412.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $760.55 / $922.36 / $1,132.53	Professional		$760.55	$922.36	$1,132.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $676.01 / $835.15	Professional		$465.44	$676.01	$835.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $850.82 / $1,191.08	Professional		$507.85	$850.82	$1,191.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $670.60 / $820.50 / $1,013.70	Professional		$670.60	$820.50	$1,013.70