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 $426.58 / $549.54 / $707.95	Professional		$426.58	$549.54	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,905.46	Professional		$1,096.48	$1,412.54	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $1,862.09	Facility		$562.34	$831.76	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,174.90 / $4,897.79	Professional		$537.03	$1,174.90	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,445.44	Professional		$1,047.13	$1,096.48	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,288.25	Professional		$954.99	$954.99	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,258.93	Professional		$691.83	$954.99	$1,258.93
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 $537.03 / $1,000.00 / $1,659.59	Professional		$537.03	$1,000.00	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,513.56	Professional		$891.25	$1,096.48	$1,513.56