Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $66.80 / $98.46	Facility		$66.80	$66.80	$98.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.15 / $213.44	Professional		$61.09	$87.15	$213.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $193.80 / $287.29	Professional		$138.58	$193.80	$287.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $141.15 / $228.84	Facility		$94.52	$141.15	$228.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $214.81 / $723.76	Professional		$98.10	$214.81	$723.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.80 / $165.91 / $248.60	Facility		$134.80	$165.91	$248.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $177.58 / $248.60	Professional		$138.58	$177.58	$248.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $133.91 / $194.72	Professional		$96.60	$133.91	$194.72
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 $104.19 / $175.23 / $261.24	Professional		$104.19	$175.23	$261.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $162.50 / $236.30	Professional		$132.80	$162.50	$236.30