Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $72.98 / $72.98	Facility		$53.22	$72.98	$72.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $65.95 / $136.41	Professional		$50.18	$65.95	$136.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $143.16 / $196.72	Professional		$104.08	$143.16	$196.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $86.03 / $175.87	Facility		$47.07	$86.03	$175.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $133.47 / $377.44	Professional		$62.69	$133.47	$377.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $152.28 / $177.72	Facility		$107.71	$152.28	$177.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $133.87 / $180.15	Professional		$107.71	$133.87	$180.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $95.74 / $130.66	Professional		$67.77	$95.74	$130.66
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 $67.25 / $118.25 / $191.83	Professional		$67.25	$118.25	$191.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $114.20 / $155.80	Professional		$109.80	$114.20	$155.80