Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.52 / $619.52 / $619.52	Facility		$619.52	$619.52	$619.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $692.12 / $761.22	Professional		$559.16	$692.12	$761.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $1,104.04	Facility		$758.68	$758.68	$1,104.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.75 / $891.58 / $1,103.44	Professional		$882.75	$891.58	$1,103.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.18 / $1,169.68 / $3,377.04	Facility		$694.18	$1,169.68	$3,377.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.16 / $833.44 / $1,311.74	Professional		$499.16	$833.44	$1,311.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,104.04 / $1,125.75 / $1,505.34	Facility		$1,104.04	$1,125.75	$1,505.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $1,225.85 / $2,322.06	Professional		$1,109.33	$1,225.85	$2,322.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $739.13 / $856.54 / $1,045.13	Professional		$739.13	$856.54	$1,045.13
United Facility/Professional Professional Modifier Low / Median / High Price $459.49 / $761.30 / $1,004.92	Professional		$459.49	$761.30	$1,004.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $983.60 / $983.60 / $983.60	Professional		$983.60	$983.60	$983.60