Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.28 / $196.91 / $196.91	Facility		$118.28	$196.91	$196.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $170.31 / $196.91	Professional		$105.34	$170.31	$196.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $349.62 / $570.69	Professional		$268.70	$349.62	$570.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.05 / $277.33 / $493.67	Facility		$161.05	$277.33	$493.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $477.40 / $1,469.12	Professional		$176.17	$477.40	$1,469.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $317.27 / $510.55	Facility		$234.94	$317.27	$510.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $363.39 / $510.55	Professional		$254.00	$363.39	$510.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $269.33 / $382.32	Professional		$177.97	$269.33	$382.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $355.81 / $553.48	Professional		$176.17	$355.81	$553.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $267.70 / $428.70	Professional		$218.80	$267.70	$428.70