Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $4,365.16	Facility		$512.86	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $933.25	Professional		$512.86	$588.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,659.59	Professional		$1,258.93	$1,318.26	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $1,584.89	Facility		$691.83	$870.96	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $5,128.61	Professional		$537.03	$1,023.29	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,348.96	Professional		$1,174.90	$1,258.93	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,584.89	Professional		$616.60	$1,071.52	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,318.26	Professional		$1,071.52	$1,288.25	$1,318.26