Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $104.89 / $104.89	Facility		$68.31	$104.89	$104.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $91.81 / $104.89	Professional		$59.58	$91.81	$104.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $199.64 / $311.64	Professional		$145.13	$199.64	$311.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $153.83 / $273.30	Facility		$92.35	$153.83	$273.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $243.95 / $802.00	Professional		$95.62	$243.95	$802.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $179.00 / $266.33	Facility		$107.56	$179.00	$266.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $199.82 / $281.08	Professional		$149.77	$199.82	$281.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $145.15 / $213.48	Professional		$107.07	$145.15	$213.48
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 $107.34 / $190.40 / $296.18	Professional		$107.34	$190.40	$296.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $158.10 / $239.40	Professional		$129.19	$158.10	$239.40