Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.37 / $125.37 / $2,290.00	Facility		$125.37	$125.37	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $125.37 / $135.91	Professional		$113.26	$125.37	$135.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.63 / $300.73 / $375.92	Professional		$218.63	$300.73	$375.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.06 / $283.36 / $492.76	Facility		$131.06	$283.36	$492.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $273.36 / $1,865.75	Professional		$164.02	$273.36	$1,865.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.27 / $362.00 / $2,030.75	Facility		$213.27	$362.00	$2,030.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $318.48 / $362.00	Professional		$248.68	$318.48	$362.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $239.92 / $277.43	Professional		$171.25	$239.92	$277.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $252.58 / $377.50	Professional		$177.94	$252.58	$377.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $315.70 / $315.70	Professional		$258.00	$315.70	$315.70