Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $144.05 / $144.05	Facility		$86.44	$144.05	$144.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $209.69 / $522.85	Professional		$86.44	$209.69	$522.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $261.97 / $426.56	Professional		$171.14	$261.97	$426.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $216.24 / $799.96	Facility		$108.38	$216.24	$799.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $273.14 / $1,112.48	Professional		$163.88	$273.14	$1,112.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $292.00 / $475.52	Facility		$209.42	$292.00	$475.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $278.20 / $402.33	Professional		$218.52	$278.20	$402.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $181.78 / $288.52	Professional		$135.53	$181.78	$288.52
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 $159.30 / $258.52 / $402.16	Professional		$159.30	$258.52	$402.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $220.60 / $350.20	Professional		$180.30	$220.60	$350.20