Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,090.30 / $4,365.16	Facility		$165.96	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $257.04	Professional		$147.91	$169.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $512.86	Professional		$398.11	$416.87	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $446.68	Facility		$223.87	$263.03	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,348.96	Professional		$162.18	$316.23	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $398.11	Professional		$346.74	$389.05	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $354.81	Professional		$199.53	$295.12	$354.81
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 $181.97 / $316.23 / $478.63	Professional		$181.97	$316.23	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $426.58	Professional		$346.74	$407.38	$426.58