Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.74 / $173.69 / $173.69	Facility		$135.74	$173.69	$173.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $156.75 / $197.50	Professional		$123.62	$156.75	$197.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $398.31 / $503.49	Professional		$292.83	$398.31	$503.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $248.16 / $423.34	Facility		$170.77	$248.16	$423.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $397.33 / $1,316.80	Professional		$153.10	$397.33	$1,316.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $375.18 / $516.67	Facility		$255.00	$375.18	$516.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $353.68 / $469.93	Professional		$235.00	$353.68	$469.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $265.98 / $342.86	Professional		$180.13	$265.98	$342.86
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 $153.10 / $305.17 / $474.71	Professional		$153.10	$305.17	$474.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $308.30 / $384.50	Professional		$252.00	$308.30	$384.50