Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.13 / $111.13 / $4,338.00	Facility		$111.13	$111.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $143.88 / $200.95	Professional		$111.13	$143.88	$200.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $282.49 / $349.62	Professional		$279.66	$282.49	$349.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $226.23 / $347.25	Facility		$149.59	$226.23	$347.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $257.04 / $1,068.90	Professional		$153.19	$257.04	$1,068.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $349.14 / $2,929.96	Facility		$232.00	$349.14	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $291.85 / $357.90	Professional		$233.30	$291.85	$357.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $225.12 / $259.41	Professional		$165.20	$225.12	$259.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $255.34 / $352.02	Professional		$153.19	$255.34	$352.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $297.39 / $309.30	Professional		$252.80	$297.39	$309.30