Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $95.73 / $95.73	Facility		$57.83	$95.73	$95.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $83.68 / $95.73	Professional		$53.15	$83.68	$95.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $149.41 / $248.34	Professional		$117.64	$149.41	$248.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $141.59 / $241.58	Facility		$71.56	$141.59	$241.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $223.38 / $1,029.88	Professional		$102.73	$223.38	$1,029.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $174.77 / $219.90	Facility		$131.66	$174.77	$219.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $186.32 / $229.39	Professional		$112.82	$186.32	$229.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $116.51 / $165.61	Professional		$74.76	$116.51	$165.61
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 $102.73 / $171.22 / $233.38	Professional		$102.73	$171.22	$233.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $126.50 / $209.00	Professional		$103.40	$126.50	$209.00