Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $363.08 / $758.58	Facility		$107.15	$363.08	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $295.12	Professional		$79.43	$117.49	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $309.03	Professional		$162.18	$234.42	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $269.15	Facility		$117.49	$165.96	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $1,023.29	Professional		$104.71	$234.42	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $234.42	Professional		$173.78	$181.97	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $263.03	Professional		$162.18	$190.55	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $229.09	Professional		$114.82	$169.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $288.40	Professional		$97.72	$169.82	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $245.47	Professional		$154.88	$186.21	$245.47