Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $4,365.16	Facility		$213.80	$338.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $537.03	Professional		$213.80	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $912.01	Professional		$446.68	$602.56	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $741.31	Facility		$186.21	$346.74	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $3,235.94	Professional		$257.04	$467.74	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $676.08	Professional		$457.09	$457.09	$676.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $588.84	Professional		$302.00	$426.58	$588.84
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 $239.88 / $416.87 / $812.83	Professional		$239.88	$416.87	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $691.83	Professional		$380.19	$457.09	$691.83