Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $72.29 / $72.29	Facility		$48.93	$72.29	$72.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $83.02 / $187.14	Professional		$48.93	$83.02	$187.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.59 / $315.06 / $1,619.26	Professional	50	$73.59	$315.06	$1,619.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $141.21 / $209.38	Professional		$102.66	$141.21	$209.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $119.80 / $220.91	Facility		$70.68	$119.80	$220.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $185.99 / $1,157.00	Professional		$92.68	$185.99	$1,157.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $140.90 / $194.09	Facility		$80.11	$140.90	$194.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $149.41 / $197.86	Professional		$111.88	$149.41	$197.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $119.59 / $167.10	Professional		$76.69	$119.59	$167.10
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $128.88 / $246.30	Professional		$80.70	$128.88	$246.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $124.80 / $178.20	Professional		$102.00	$124.80	$178.20