Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $90.30 / $90.30	Facility		$65.88	$90.30	$90.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $80.20 / $113.65	Professional		$65.06	$80.20	$113.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $193.80 / $264.89	Professional		$140.02	$193.80	$264.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $130.59 / $211.72	Facility		$95.35	$130.59	$211.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $200.85 / $684.24	Professional		$94.02	$200.85	$684.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $168.68 / $233.36	Facility		$97.83	$168.68	$233.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $174.82 / $233.36	Professional		$132.29	$174.82	$233.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $131.97 / $177.90	Professional		$93.26	$131.97	$177.90
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 $87.54 / $170.94 / $246.88	Professional		$87.54	$170.94	$246.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $160.19 / $215.90	Professional		$130.90	$160.19	$215.90