Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $184.80 / $2,290.00	Facility		$184.80	$184.80	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $184.80 / $184.80	Professional		$170.62	$184.80	$184.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.14 / $378.64 / $473.30	Professional		$245.14	$378.64	$473.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.68 / $280.91 / $467.50	Facility		$158.68	$280.91	$467.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $294.45 / $1,705.59	Professional		$151.22	$294.45	$1,705.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $277.87 / $376.71 / $524.54	Facility		$277.87	$376.71	$524.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $327.67 / $449.17	Professional		$198.00	$327.67	$449.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $240.67 / $322.80	Professional		$169.44	$240.67	$322.80
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 $160.13 / $306.42 / $483.50	Professional		$160.13	$306.42	$483.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $407.40 / $407.40	Professional		$333.00	$407.40	$407.40