Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $4,365.16	Facility		$104.71	$269.15	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $416.87	Professional		$97.72	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $707.95	Professional		$213.80	$288.40	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $223.87 / $575.44	Facility		$87.10	$223.87	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $1,949.84	Professional		$204.17	$354.81	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $524.81	Professional		$223.87	$223.87	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $457.09	Professional		$158.49	$295.12	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $630.96	Professional		$114.82	$263.03	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $537.03	Professional		$186.21	$223.87	$537.03