Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $178.51 / $178.51	Facility		$67.30	$178.51	$178.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $157.50 / $181.12	Professional		$60.92	$157.50	$181.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $205.73 / $515.17	Professional		$132.33	$205.73	$515.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $178.65 / $500.48	Facility		$83.53	$178.65	$500.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $303.47 / $1,336.32	Professional		$168.75	$303.47	$1,336.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.81 / $347.30 / $1,156.80	Facility		$177.81	$347.30	$1,156.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $223.78 / $434.09	Professional		$166.29	$223.78	$434.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $213.75 / $344.80	Professional		$110.41	$213.75	$344.80
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 $168.40 / $292.97 / $455.73	Professional		$168.40	$292.97	$455.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $172.70 / $418.50	Professional		$141.19	$172.70	$418.50