Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.88 / $579.88 / $579.88	Facility		$579.88	$579.88	$579.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.34 / $579.88 / $901.45	Professional		$540.34	$579.88	$901.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $761.54	Facility		$432.60	$432.60	$761.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.50 / $802.50 / $1,003.13	Professional		$802.50	$802.50	$1,003.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.26 / $937.51 / $3,605.80	Facility		$512.26	$937.51	$3,605.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $547.78 / $864.54	Professional		$319.33	$547.78	$864.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.22 / $761.54 / $1,328.58	Facility		$633.22	$761.54	$1,328.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $786.85 / $1,654.85	Professional		$689.52	$786.85	$1,654.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $769.98 / $901.45 / $1,071.52	Professional		$769.98	$901.45	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $270.44 / $460.52 / $767.53	Professional		$270.44	$460.52	$767.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $678.46 / $678.46 / $678.46	Professional		$678.46	$678.46	$678.46