Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.41 / $665.41 / $665.41	Facility		$665.41	$665.41	$665.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.41 / $703.01 / $773.54	Professional		$665.41	$703.01	$773.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $990.80	Facility		$703.94	$703.94	$990.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.00 / $930.21 / $1,151.25	Professional		$921.00	$930.21	$1,151.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $664.51 / $1,124.54 / $4,062.38	Facility		$664.51	$1,124.54	$4,062.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.57 / $526.90 / $1,029.65	Professional		$315.57	$526.90	$1,029.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $823.83 / $990.80 / $1,520.08	Facility		$823.83	$990.80	$1,520.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.48 / $1,004.75 / $1,893.40	Professional		$811.48	$1,004.75	$1,893.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.72 / $773.54 / $919.48	Professional		$660.72	$773.54	$919.48
United Facility/Professional Professional Modifier Low / Median / High Price $315.57 / $526.90 / $794.43	Professional		$315.57	$526.90	$794.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $882.72 / $882.72 / $882.72	Professional		$882.72	$882.72	$882.72