Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $120.84 / $120.84	Facility		$62.47	$120.84	$120.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $97.33 / $164.46	Professional		$55.50	$97.33	$164.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $184.65 / $317.48	Professional		$133.18	$184.65	$317.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $147.32 / $290.57	Facility		$73.70	$147.32	$290.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $300.86 / $856.84	Professional		$134.52	$300.86	$856.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $180.41 / $298.14	Facility		$134.72	$180.41	$298.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $180.41 / $298.14	Professional		$132.00	$180.41	$298.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $158.19 / $212.18	Professional		$88.26	$158.19	$212.18
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 $134.52 / $202.07 / $314.33	Professional		$134.52	$202.07	$314.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $138.00 / $247.30	Professional		$112.80	$138.00	$247.30