Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.69 / $544.69 / $544.69	Facility		$544.69	$544.69	$544.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.24 / $544.69 / $544.69	Professional		$388.24	$544.69	$544.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.46 / $1,155.46 / $1,155.46	Facility		$1,155.46	$1,155.46	$1,155.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.76 / $1,052.31 / $1,315.39	Professional		$665.76	$1,052.31	$1,315.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.17 / $682.66 / $2,752.44	Facility		$555.17	$682.66	$2,752.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $521.51 / $875.28	Professional		$297.60	$521.51	$875.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $747.75 / $1,062.49 / $1,159.74	Facility		$747.75	$1,062.49	$1,159.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $747.75 / $1,062.49 / $1,512.39	Professional		$747.75	$1,062.49	$1,512.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $1,396.09 / $1,591.89	Professional		$579.46	$1,396.09	$1,591.89
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $347.68 / $695.35	Professional		$243.37	$347.68	$695.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $579.46 / $579.46	Professional		$579.46	$579.46	$579.46