Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $4,365.16	Facility		$169.82	$229.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $446.68	Professional		$169.82	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $707.95	Professional		$407.38	$537.03	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $512.86	Facility		$234.42	$331.13	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $3,162.28	Professional		$190.55	$380.19	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $489.78	Professional		$363.08	$407.38	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $407.38	Professional		$363.08	$363.08	$407.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $478.63	Professional		$251.19	$363.08	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $562.34	Professional		$194.98	$371.54	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $562.34	Professional		$354.81	$436.52	$562.34