Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $196.91 / $196.91	Facility		$100.69	$196.91	$196.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $158.84 / $222.34	Professional		$82.75	$158.84	$222.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $273.66 / $515.17	Professional		$210.13	$273.66	$515.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $197.73 / $435.22	Facility		$90.11	$197.73	$435.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $324.18 / $710.08	Professional		$155.22	$324.18	$710.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.15 / $335.16 / $474.41	Facility		$208.15	$335.16	$474.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $320.33 / $482.80	Professional		$224.67	$320.33	$482.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $212.38 / $340.92	Professional		$136.19	$212.38	$340.92
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 $155.22 / $304.44 / $504.28	Professional		$155.22	$304.44	$504.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $220.60 / $406.50	Professional		$212.10	$220.60	$406.50