Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $333.28 / $333.28	Facility		$79.72	$333.28	$333.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $291.32 / $366.39	Professional		$72.38	$291.32	$366.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $264.45 / $944.66	Professional		$173.46	$264.45	$944.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $298.91 / $728.19	Facility		$103.50	$298.91	$728.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.86 / $663.86 / $2,453.12	Professional		$380.86	$663.86	$2,453.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.85 / $307.14 / $889.58	Facility		$192.85	$307.14	$889.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $610.42 / $889.58	Professional		$191.41	$610.42	$889.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $344.29 / $627.49	Professional		$126.84	$344.29	$627.49
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 $372.84 / $615.96 / $958.16	Professional		$372.84	$615.96	$958.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $206.50 / $761.60	Professional		$168.80	$206.50	$761.60