Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $4,365.16	Facility		$524.81	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,230.27	Professional		$524.81	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,041.74	Professional		$1,122.02	$1,445.44	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,698.24	Facility		$436.52	$724.44	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $5,248.07	Professional		$616.60	$1,148.15	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,318.26	Professional		$707.95	$977.24	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,905.46	Professional		$562.34	$977.24	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,584.89	Professional		$933.25	$1,122.02	$1,584.89