Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.75 / $650.84 / $650.84	Facility		$508.75	$650.84	$650.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $532.70 / $835.64	Professional		$428.62	$532.70	$835.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.99 / $1,374.14 / $1,733.50	Professional		$998.99	$1,374.14	$1,733.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.61 / $762.11 / $1,453.65	Facility		$444.61	$762.11	$1,453.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.49 / $1,120.66 / $1,863.20	Professional		$521.49	$1,120.66	$1,863.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,040.02 / $1,404.49 / $1,795.50	Facility		$1,040.02	$1,404.49	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,263.16 / $1,609.33	Professional		$1,040.02	$1,263.16	$1,609.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $924.42 / $1,157.30	Professional		$607.26	$924.42	$1,157.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.25 / $1,094.56 / $1,684.65	Professional		$650.25	$1,094.56	$1,684.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,059.90 / $1,102.30 / $1,380.00	Professional		$1,059.90	$1,102.30	$1,380.00