Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $169.50 / $169.50	Facility		$98.73	$169.50	$169.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $147.59 / $169.50	Professional		$87.54	$147.59	$169.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $294.11 / $492.78	Professional		$227.26	$294.11	$492.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $242.64 / $478.02	Facility		$136.82	$242.64	$478.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $454.20 / $1,925.20	Professional		$173.49	$454.20	$1,925.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $322.23 / $464.63	Facility		$260.05	$322.23	$464.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $321.08 / $465.98	Professional		$224.00	$321.08	$465.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.81 / $260.68 / $335.09	Professional		$171.81	$260.68	$335.09
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 $199.85 / $327.02 / $505.57	Professional		$199.85	$327.02	$505.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $231.40 / $375.80	Professional		$189.10	$231.40	$375.80