Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $4,365.16	Facility		$79.43	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $138.04	Professional		$72.44	$85.11	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $223.87	Professional		$169.82	$177.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $245.47	Facility		$95.50	$181.97	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $616.60	Professional		$72.44	$141.25	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $186.21	Professional		$162.18	$169.82	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $151.36	Professional		$104.71	$134.90	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $213.80	Professional		$93.33	$154.88	$213.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $173.78	Professional		$144.54	$169.82	$173.78