Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $290.33 / $290.33	Facility		$290.33	$290.33	$290.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $288.77 / $290.33	Professional		$261.20	$288.77	$290.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $457.40	Facility		$233.26	$233.26	$457.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.50 / $489.35 / $605.63	Professional		$484.50	$489.35	$605.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $488.04 / $1,945.90	Facility		$288.77	$488.04	$1,945.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $269.27 / $456.06	Professional		$168.30	$269.27	$456.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.31 / $457.40 / $716.35	Facility		$380.31	$457.40	$716.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $463.85 / $874.08	Professional		$374.63	$463.85	$874.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $412.54 / $490.37	Professional		$352.38	$412.54	$490.37
United Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $210.76 / $358.39	Professional		$145.82	$210.76	$358.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.50 / $407.50 / $407.50	Professional		$407.50	$407.50	$407.50