Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $419.94 / $419.94	Facility		$257.99	$419.94	$419.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $383.24 / $532.94	Professional		$238.03	$383.24	$532.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $821.40 / $1,181.31	Professional		$592.82	$821.40	$1,181.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $588.44 / $1,028.68	Facility		$311.00	$588.44	$1,028.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $1,073.58 / $3,056.56	Professional		$473.90	$1,073.58	$3,056.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $584.00 / $799.86 / $2,103.33	Facility		$584.00	$799.86	$2,103.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.75 / $766.20 / $1,058.74	Professional		$501.75	$766.20	$1,058.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $586.96 / $787.28	Professional		$392.47	$586.96	$787.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $789.84 / $1,121.65	Professional		$473.90	$789.84	$1,121.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $598.60 / $938.80	Professional		$489.20	$598.60	$938.80