Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,995.26 / $4,570.88	Facility		$69.18	$1,995.26	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $245.47	Professional		$63.10	$138.04	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $371.54	Professional		$128.82	$169.82	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $338.84	Facility		$97.72	$199.53	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,230.27	Professional		$151.36	$275.42	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $309.03	Professional		$144.54	$165.96	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $309.03	Professional		$144.54	$162.18	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $257.04	Professional		$100.00	$190.55	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $371.54	Professional		$95.50	$181.97	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $295.12	Professional		$114.82	$141.25	$295.12