Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.83 / $113.78 / $113.78	Facility		$88.83	$113.78	$113.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $80.23 / $145.59	Professional		$57.86	$80.23	$145.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.28 / $260.02 / $334.04	Professional		$194.28	$260.02	$334.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $165.63 / $320.95	Facility		$111.58	$165.63	$320.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $277.95 / $885.44	Professional		$109.72	$277.95	$885.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $264.20 / $321.32	Facility		$185.90	$264.20	$321.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $255.82 / $323.06	Professional		$206.44	$255.82	$323.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $186.95 / $234.82	Professional		$131.13	$186.95	$234.82
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 $132.02 / $240.04 / $336.48	Professional		$132.02	$240.04	$336.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $209.60 / $263.30	Professional		$171.30	$209.60	$263.30