Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $174.33 / $174.33	Facility		$104.66	$174.33	$174.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $154.09 / $180.92	Professional		$93.65	$154.09	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $312.61 / $512.26	Professional		$181.81	$312.61	$512.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $221.35 / $431.39	Facility		$134.07	$221.35	$431.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $344.93 / $1,315.68	Professional		$180.68	$344.93	$1,315.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $288.12 / $476.31	Facility		$238.73	$288.12	$476.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $294.25 / $476.31	Professional		$217.95	$294.25	$476.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.54 / $232.19 / $339.14	Professional		$173.54	$232.19	$339.14
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 $180.68 / $265.83 / $505.04	Professional		$180.68	$265.83	$505.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $257.50 / $414.60	Professional		$210.50	$257.50	$414.60