Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $82.70 / $82.70	Facility		$43.64	$82.70	$82.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $68.98 / $244.30	Professional		$36.84	$68.98	$244.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $135.37 / $232.76	Professional		$92.88	$135.37	$232.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $129.34 / $268.18	Facility		$62.26	$129.34	$268.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $193.31 / $1,017.00	Professional		$96.66	$193.31	$1,017.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $142.19 / $254.46	Facility		$91.11	$142.19	$254.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $184.70 / $272.45	Professional		$99.92	$184.70	$272.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $132.37 / $192.63	Professional		$74.79	$132.37	$192.63
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 $78.52 / $175.77 / $280.39	Professional		$78.52	$175.77	$280.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $106.80 / $190.80	Professional		$87.30	$106.80	$190.80