Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $4,365.16	Facility		$41.69	$75.86	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $95.50	Professional		$38.90	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $239.88	Professional		$107.15	$134.90	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $194.98	Facility		$60.26	$107.15	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $602.56	Professional		$69.18	$151.36	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $177.83	Professional		$109.65	$112.20	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $151.36	Professional		$97.72	$97.72	$151.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $162.18	Professional		$79.43	$112.20	$162.18
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 $61.66 / $117.49 / $208.93	Professional		$61.66	$117.49	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $190.55	Professional		$91.20	$112.20	$190.55