Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.70 / $697.07	Facility		$28.18	$75.70	$697.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $85.71 / $315.95	Professional		$28.18	$85.71	$315.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.59 / $33.71 / $43.63	Professional	52	$12.59	$33.71	$43.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $166.06 / $220.10	Professional		$66.22	$166.06	$220.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $96.85 / $212.48	Facility		$38.69	$96.85	$212.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $201.48 / $663.12	Professional		$87.59	$201.48	$663.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $121.61 / $221.58	Facility		$73.67	$121.61	$221.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $142.33 / $200.64	Professional		$64.78	$142.33	$200.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $109.48 / $144.53	Professional		$48.94	$109.48	$144.53
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 $80.29 / $145.97 / $210.50	Professional		$80.29	$145.97	$210.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $69.90 / $178.20	Professional		$57.10	$69.90	$178.20