Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $251.19	Professional		$93.33	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $489.78	Professional		$199.53	$295.12	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $363.08	Facility		$144.54	$234.42	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $316.23 / $1,230.27	Professional		$138.04	$316.23	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $363.08	Professional		$229.09	$234.42	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $354.81	Professional		$213.80	$229.09	$354.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $323.59	Professional		$169.82	$229.09	$323.59
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 $131.83 / $218.78 / $416.87	Professional		$131.83	$218.78	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $398.11	Professional		$199.53	$245.47	$398.11