Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $4,365.16	Facility		$158.49	$229.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $478.63	Professional		$158.49	$229.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $691.83	Professional		$275.42	$489.78	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $602.56	Facility		$158.49	$288.40	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $1,737.80	Professional		$213.80	$380.19	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $575.44	Professional		$363.08	$407.38	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $478.63	Professional		$338.84	$338.84	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $457.09	Professional		$234.42	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $512.86	Professional		$194.98	$316.23	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $549.54	Professional		$323.59	$398.11	$549.54