Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $110.90 / $240.84	Facility		$74.97	$110.90	$240.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $105.81 / $156.66	Professional		$73.04	$105.81	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $210.36 / $313.58	Professional		$168.29	$210.36	$313.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $153.62 / $290.57	Facility		$101.83	$153.62	$290.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $299.62 / $941.99	Professional		$134.76	$299.62	$941.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $201.95 / $291.69	Facility		$118.63	$201.95	$291.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.48 / $215.00 / $291.69	Professional		$164.48	$215.00	$291.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $158.68 / $212.83	Professional		$109.00	$158.68	$212.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $219.04 / $313.04	Professional		$134.76	$219.04	$313.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $174.30 / $253.80	Professional		$142.50	$174.30	$253.80