Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $133.12 / $133.12	Facility		$80.81	$133.12	$133.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $124.09 / $307.14	Professional		$79.37	$124.09	$307.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.86 / $57.83 / $66.56	Professional	52	$35.86	$57.83	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $245.42 / $388.58	Professional		$182.11	$245.42	$388.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $182.00 / $336.80	Facility		$103.03	$182.00	$336.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $296.62 / $993.12	Professional		$117.28	$296.62	$993.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $227.82 / $348.79	Facility		$187.00	$227.82	$348.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $248.19 / $348.79	Professional		$164.81	$248.19	$348.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $189.36 / $258.11	Professional		$122.99	$189.36	$258.11
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 $117.28 / $237.96 / $370.16	Professional		$117.28	$237.96	$370.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $185.00 / $289.39	Professional		$151.19	$185.00	$289.39