Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $562.04 / $562.04	Facility		$562.04	$562.04	$562.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $358.74 / $562.04	Professional		$358.74	$358.74	$562.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.01 / $1,192.01 / $1,192.01	Facility		$1,192.01	$1,192.01	$1,192.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $1,085.60 / $1,357.01	Professional		$686.82	$1,085.60	$1,357.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $564.30 / $677.01 / $2,840.07	Facility		$564.30	$677.01	$2,840.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $538.12 / $1,096.32	Professional		$307.07	$538.12	$1,096.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,096.32 / $1,310.36	Facility		$771.56	$1,096.32	$1,310.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,096.32 / $1,560.55	Professional		$717.49	$1,096.32	$1,560.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,440.54 / $1,642.58	Professional		$722.52	$1,440.54	$1,642.58
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $903.15	Professional		$251.12	$358.75	$903.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91