Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $163.36 / $163.36	Facility		$61.52	$163.36	$163.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $124.06 / $200.16	Professional		$61.52	$124.06	$200.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $201.91 / $465.51	Professional		$130.97	$201.91	$465.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $196.76 / $338.60	Facility		$89.06	$196.76	$338.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $255.34 / $1,227.00	Professional		$140.44	$255.34	$1,227.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.86 / $317.25 / $1,123.16	Facility		$158.86	$317.25	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $195.49 / $364.73	Professional		$135.15	$195.49	$364.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $173.35 / $309.87	Professional		$93.50	$173.35	$309.87
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 $135.18 / $240.17 / $386.06	Professional		$135.18	$240.17	$386.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $151.50 / $376.10	Professional		$123.90	$151.50	$376.10