Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.03 / $747.03 / $747.03	Facility		$747.03	$747.03	$747.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $672.12 / $747.03	Professional		$634.54	$672.12	$747.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $860.28 / $1,176.91	Facility		$731.38	$860.28	$1,176.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.50 / $1,246.50 / $1,558.13	Professional		$1,246.50	$1,246.50	$1,558.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.01 / $1,255.69 / $5,006.71	Facility		$743.01	$1,255.69	$5,006.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.01 / $692.82 / $1,173.46	Professional		$433.01	$692.82	$1,173.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $978.57 / $1,176.91 / $1,843.19	Facility		$978.57	$1,176.91	$1,843.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.88 / $1,193.46 / $2,249.02	Professional		$963.88	$1,193.46	$2,249.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $906.62 / $1,061.44 / $1,261.69	Professional		$906.62	$1,061.44	$1,261.69
United Facility/Professional Professional Modifier Low / Median / High Price $375.18 / $559.03 / $1,139.94	Professional		$375.18	$559.03	$1,139.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,048.52 / $1,048.52 / $1,048.52	Professional		$1,048.52	$1,048.52	$1,048.52