Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $4,365.16	Facility		$457.09	$645.65	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,047.13	Professional		$457.09	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,778.28	Professional		$912.01	$1,258.93	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $1,445.44	Facility		$380.19	$724.44	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,023.29 / $4,897.79	Professional		$524.81	$1,023.29	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,380.38	Professional		$1,023.29	$1,023.29	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,148.15	Professional		$616.60	$851.14	$1,148.15
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 $524.81 / $851.14 / $1,621.81	Professional		$524.81	$851.14	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,380.38	Professional		$812.83	$1,000.00	$1,380.38