Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.69 / $646.69 / $646.69	Facility		$646.69	$646.69	$646.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.10 / $646.69 / $820.12	Professional		$530.10	$646.69	$820.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $747.11	Facility		$419.41	$419.41	$747.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.13 / $904.08 / $1,118.91	Professional		$895.13	$904.08	$1,118.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.38 / $864.93 / $3,569.44	Facility		$619.38	$864.93	$3,569.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $531.08 / $839.80	Professional		$313.29	$531.08	$839.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $621.20 / $747.11 / $1,288.05	Facility		$621.20	$747.11	$1,288.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.45 / $757.62 / $1,505.54	Professional		$676.45	$757.62	$1,505.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $700.51 / $820.12 / $974.84	Professional		$700.51	$820.12	$974.84
United Facility/Professional Professional Modifier Low / Median / High Price $279.05 / $446.48 / $669.13	Professional		$279.05	$446.48	$669.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $665.61 / $665.61 / $665.61	Professional		$665.61	$665.61	$665.61