Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $117.89 / $1,254.93	Facility		$61.39	$117.89	$1,254.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $117.89 / $1,079.50	Professional		$58.92	$117.89	$1,079.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $194.84 / $335.01	Professional		$128.86	$194.84	$335.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $151.47 / $547.36	Facility		$88.20	$151.47	$547.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $239.19 / $1,094.00	Professional		$100.90	$239.19	$1,094.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $157.84 / $281.42	Facility		$113.79	$157.84	$281.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $165.75 / $281.42	Professional		$117.47	$165.75	$281.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $149.63 / $225.12	Professional		$89.76	$149.63	$225.12
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 $101.93 / $237.40 / $296.75	Professional		$101.93	$237.40	$296.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $149.19 / $273.20	Professional		$121.90	$149.19	$273.20