Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $173.44 / $173.44	Facility		$47.29	$173.44	$173.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $147.77 / $176.11	Professional		$47.29	$147.77	$176.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $287.16 / $493.75	Professional		$109.07	$287.16	$493.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $162.65 / $431.59	Facility		$58.68	$162.65	$431.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $387.46 / $1,262.48	Professional		$189.40	$387.46	$1,262.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $252.28 / $532.89	Facility		$121.82	$252.28	$532.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $319.70 / $451.71	Professional		$105.53	$319.70	$451.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $242.60 / $325.39	Professional		$79.73	$242.60	$325.39
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 $130.53 / $315.92 / $491.43	Professional		$130.53	$315.92	$491.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $105.20 / $364.90	Professional		$86.00	$105.20	$364.90