Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $215.81 / $215.81	Facility		$93.55	$215.81	$215.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $190.21 / $215.81	Professional		$85.34	$190.21	$215.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $283.39 / $624.25	Professional		$185.13	$283.39	$624.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $273.24 / $628.58	Facility		$122.59	$273.24	$628.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $371.56 / $1,626.16	Professional		$207.32	$371.56	$1,626.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.95 / $443.49 / $2,532.54	Facility		$250.95	$443.49	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $297.00 / $541.92	Professional		$234.00	$297.00	$541.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $283.06 / $427.60	Professional		$175.42	$283.06	$427.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $358.65 / $557.90	Professional		$207.32	$358.65	$557.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $250.50 / $519.00	Professional		$204.70	$250.50	$519.00