Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,047.13 / $4,365.16	Facility		$58.88	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $309.03	Professional		$56.23	$141.25	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $457.09	Professional		$138.04	$295.12	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $239.88 / $616.60	Facility		$83.18	$239.88	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $1,318.26	Professional		$239.88	$549.54	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $630.96	Professional		$309.03	$346.74	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $616.60	Professional		$309.03	$338.84	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.04 / $426.58	Professional		$100.00	$257.04	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $741.31	Professional		$134.90	$331.13	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $363.08	Professional		$117.49	$141.25	$363.08