Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.39 / $475.39 / $2,290.00	Facility		$475.39	$475.39	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.11 / $475.39 / $1,497.16	Professional		$442.11	$475.39	$1,497.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.83 / $1,188.91 / $1,486.13	Professional		$1,152.83	$1,188.91	$1,486.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.22 / $803.41 / $1,462.07	Facility		$632.22	$803.41	$1,462.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $1,079.54 / $3,925.84	Professional		$647.72	$1,079.54	$3,925.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $839.87 / $1,303.75 / $1,601.79	Facility		$839.87	$1,303.75	$1,601.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,152.83 / $1,394.35	Professional		$858.00	$1,152.83	$1,394.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $653.03 / $879.58 / $1,024.69	Professional		$653.03	$879.58	$1,024.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $937.91 / $1,458.97	Professional		$593.75	$937.91	$1,458.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $998.60 / $1,174.90 / $1,221.80	Professional		$998.60	$1,174.90	$1,221.80