Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.06 / $263.24 / $263.24	Facility		$116.06	$263.24	$263.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $215.87 / $263.24	Professional		$97.71	$215.87	$263.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.43 / $421.40 / $724.56	Professional		$241.43	$421.40	$724.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $308.69 / $523.77	Facility		$165.13	$308.69	$523.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.47 / $527.16 / $2,628.00	Professional		$287.47	$527.16	$2,628.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $460.30 / $817.57	Facility		$261.39	$460.30	$817.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $369.83 / $587.16	Professional		$230.68	$369.83	$587.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $352.66 / $483.23	Professional		$194.11	$352.66	$483.23
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 $291.68 / $505.30 / $732.62	Professional		$291.68	$505.30	$732.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $277.20 / $586.50	Professional		$226.50	$277.20	$586.50