Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $4,365.16	Facility		$75.86	$91.20	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $177.83	Professional		$75.86	$93.33	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $251.19	Professional		$141.25	$199.53	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $229.09	Facility		$61.66	$102.33	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $851.14	Professional		$72.44	$147.91	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $194.98	Professional		$165.96	$165.96	$194.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $162.18	Professional		$93.33	$138.04	$162.18
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 $75.86 / $141.25 / $229.09	Professional		$75.86	$141.25	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $194.98	Professional		$134.90	$165.96	$194.98