Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.38 / $554.38 / $2,290.00	Facility		$554.38	$554.38	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.56 / $554.38 / $807.32	Professional		$470.56	$554.38	$807.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.34 / $1,054.11 / $1,317.65	Professional		$766.34	$1,054.11	$1,317.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.96 / $878.72 / $1,492.89	Facility		$675.96	$878.72	$1,492.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $366.87 / $4,216.88	Professional		$193.31	$366.87	$4,216.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $376.89 / $1,104.83 / $1,768.64	Facility		$376.89	$1,104.83	$1,768.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $376.89 / $691.82 / $1,270.20	Professional		$376.89	$691.82	$1,270.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,255.71 / $2,255.71 / $2,255.71	Professional		$2,255.71	$2,255.71	$2,255.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $385.48 / $521.76	Professional		$227.22	$385.48	$521.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $247.80 / $247.80	Professional		$247.80	$247.80	$247.80