Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $575.44 / $2,290.87	Facility		$52.48	$575.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $87.10	Professional		$50.12	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $158.49	Professional		$123.03	$128.82	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $151.36	Facility		$66.07	$102.33	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $1,778.28	Professional		$51.29	$100.00	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $128.82	Professional		$117.49	$123.03	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $109.65	Professional		$72.44	$97.72	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $154.88	Professional		$67.61	$107.15	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $131.83	Professional		$109.65	$128.82	$131.83