Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $852.39 / $1,394.03	Facility		$102.61	$852.39	$1,394.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $139.99 / $362.36	Professional		$82.89	$139.99	$362.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.45 / $306.77 / $441.17	Professional		$231.45	$306.77	$441.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $216.27 / $393.28	Facility		$130.33	$216.27	$393.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $380.00 / $1,134.88	Professional		$135.76	$380.00	$1,134.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $262.39 / $384.91	Facility		$184.52	$262.39	$384.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $284.55 / $408.34	Professional		$197.18	$284.55	$408.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $207.01 / $294.33	Professional		$150.30	$207.01	$294.33
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $274.64 / $427.22	Professional		$167.20	$274.64	$427.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $232.10 / $330.10	Professional		$189.70	$232.10	$330.10