Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,090.30 / $4,365.16	Facility		$323.59	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $467.74	Professional		$323.59	$371.54	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,047.13	Professional		$794.33	$831.76	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $549.54 / $1,000.00	Facility		$426.58	$549.54	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $2,691.53	Professional		$338.84	$630.96	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $831.76	Professional		$741.31	$794.33	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $691.83	Professional		$436.52	$602.56	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,000.00	Professional		$389.05	$676.08	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $831.76	Professional		$676.08	$794.33	$831.76