Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $4,365.16	Facility		$117.49	$213.80	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $346.74	Professional		$114.82	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $645.65	Professional		$208.93	$363.08	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $213.80 / $501.19	Facility		$107.15	$213.80	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $1,621.81	Professional		$194.98	$323.59	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $537.03	Professional		$263.03	$309.03	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $407.38	Professional		$239.88	$239.88	$407.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $416.87	Professional		$181.97	$269.15	$416.87
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 $138.04 / $245.47 / $467.74	Professional		$138.04	$245.47	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $501.19	Professional		$239.88	$295.12	$501.19