Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $198.76 / $278.77	Facility		$196.98	$198.76	$278.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $147.74 / $147.74 / $149.07	Facility	54	$147.74	$147.74	$149.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $176.76 / $327.25	Professional		$163.06	$176.76	$327.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $463.51 / $579.46	Professional		$337.01	$463.51	$579.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.27 / $302.45 / $474.62	Facility		$242.27	$302.45	$474.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $421.07 / $1,469.84	Professional		$190.12	$421.07	$1,469.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $421.07 / $496.32	Facility		$230.01	$421.07	$496.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $418.66 / $521.23	Professional		$287.00	$418.66	$521.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $331.59 / $394.61	Professional		$196.88	$331.59	$394.61
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 $199.23 / $362.24 / $515.87	Professional		$199.23	$362.24	$515.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $473.50 / $479.00	Professional		$387.00	$473.50	$479.00