Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $253.47 / $253.47	Facility		$89.79	$253.47	$253.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $102.74 / $587.46	Professional		$82.47	$102.74	$587.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $471.79 / $666.13	Professional		$192.44	$471.79	$666.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $242.17 / $558.49	Facility		$105.55	$242.17	$558.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.26 / $570.22 / $2,433.13	Professional		$242.26	$570.22	$2,433.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.52 / $483.58 / $751.87	Facility		$217.52	$483.58	$751.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $397.69 / $619.52	Professional		$189.95	$397.69	$619.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $326.61 / $444.42	Professional		$143.52	$326.61	$444.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $423.95 / $627.51	Professional		$263.77	$423.95	$627.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $196.80 / $518.00	Professional		$160.80	$196.80	$518.00