Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $575.44 / $10,000.00	Facility		$117.49	$575.44	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $416.87	Professional		$112.20	$162.18	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $426.58	Professional		$281.84	$338.84	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $302.00	Facility		$154.88	$194.98	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $1,096.48	Professional		$112.20	$223.87	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $288.40	Professional		$229.09	$257.04	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $281.84	Professional		$144.54	$234.42	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $338.84	Professional		$117.49	$223.87	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $338.84	Professional		$245.47	$295.12	$338.84