Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $4,365.16	Facility		$48.98	$123.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $120.23 / $331.13	Professional		$41.69	$120.23	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $354.81	Professional		$109.65	$147.91	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $309.03	Facility		$61.66	$131.83	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $912.01	Professional		$104.71	$239.88	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $269.15	Professional		$97.72	$123.03	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $199.53	Professional		$107.15	$107.15	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $234.42	Professional		$85.11	$158.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $302.00	Professional		$63.10	$138.04	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $263.03	Professional		$91.20	$112.20	$263.03