Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $107.54 / $107.54	Facility		$97.97	$107.54	$107.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $97.97 / $107.54	Professional		$85.68	$97.97	$107.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $252.43 / $315.54	Professional		$206.74	$252.43	$315.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.08 / $173.10 / $311.14	Facility		$123.08	$173.10	$311.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $265.89 / $1,010.71	Professional		$124.54	$265.89	$1,010.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $259.81 / $339.98	Facility		$224.00	$259.81	$339.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $259.83 / $320.63	Professional		$209.59	$259.83	$320.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $196.31 / $230.94	Professional		$130.55	$196.31	$230.94
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 $124.54 / $206.71 / $319.33	Professional		$124.54	$206.71	$319.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $236.50 / $259.00	Professional		$193.30	$236.50	$259.00