Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $4,365.16	Facility		$128.82	$173.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $416.87	Professional		$112.20	$165.96	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $512.86	Professional		$295.12	$398.11	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $436.52	Facility		$151.36	$229.09	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $1,288.25	Professional		$151.36	$331.13	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $389.05	Professional		$295.12	$302.00	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $346.74	Professional		$269.15	$269.15	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $338.84	Professional		$181.97	$269.15	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $416.87	Professional		$151.36	$257.04	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $380.19	Professional		$239.88	$295.12	$380.19