Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $153.91 / $153.91	Facility		$107.53	$153.91	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $139.65 / $196.74	Professional		$106.51	$139.65	$196.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $311.64 / $447.98	Professional		$226.56	$311.64	$447.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.99 / $223.54 / $362.42	Facility		$155.99	$223.54	$362.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $338.63 / $1,176.08	Professional		$157.66	$338.63	$1,176.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $277.47 / $403.33	Facility		$184.09	$277.47	$403.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.11 / $308.74 / $403.33	Professional		$220.11	$308.74	$403.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $227.71 / $316.33	Professional		$162.51	$227.71	$316.33
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 $157.66 / $269.64 / $419.44	Professional		$157.66	$269.64	$419.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $276.39 / $384.00	Professional		$225.90	$276.39	$384.00