Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $222.57 / $524.37	Facility		$77.54	$222.57	$524.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $177.30 / $246.60	Professional		$87.95	$177.30	$246.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,037.33 / $1,037.33 / $1,037.33	Professional	50	$1,037.33	$1,037.33	$1,037.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $201.85 / $567.77	Professional		$158.94	$201.85	$567.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $249.87 / $451.68	Facility		$102.19	$249.87	$451.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $484.43 / $1,466.96	Professional		$175.87	$484.43	$1,466.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.52 / $312.00 / $524.11	Facility		$180.52	$312.00	$524.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $286.00 / $536.84	Professional		$162.29	$286.00	$536.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $254.02 / $379.07	Professional		$122.63	$254.02	$379.07
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 $189.04 / $360.89 / $546.98	Professional		$189.04	$360.89	$546.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $182.10 / $484.10	Professional		$148.80	$182.10	$484.10