Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $79.43 / $4,365.16	Facility		$69.18	$79.43	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $316.23	Professional		$81.28	$144.54	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $741.31	Professional		$141.25	$269.15	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $190.55 / $446.68	Facility		$74.13	$190.55	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $1,862.09	Professional		$125.89	$239.88	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $616.60	Professional		$165.96	$213.80	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $295.12	Professional		$186.21	$186.21	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $489.78	Professional		$125.89	$194.98	$489.78
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 $102.33 / $177.83 / $407.38	Professional		$102.33	$177.83	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $588.84	Professional		$169.82	$204.17	$588.84