Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.91 / $391.77 / $765.28	Facility		$363.91	$391.77	$765.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $486.97 / $625.16	Professional		$325.08	$486.97	$625.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.88 / $830.88 / $830.88	Facility		$830.88	$830.88	$830.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $757.05 / $946.32	Professional		$585.88	$757.05	$946.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.31 / $559.02 / $765.12	Facility		$399.31	$559.02	$765.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $291.58 / $857.58	Professional		$250.07	$291.58	$857.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.84 / $913.41 / $1,168.83	Facility		$537.84	$913.41	$1,168.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $849.13 / $1,168.83	Professional		$500.14	$849.13	$1,168.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $680.62 / $1,004.15 / $1,144.98	Professional		$680.62	$1,004.15	$1,144.98
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $291.58 / $416.78	Professional		$175.05	$291.58	$416.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78