Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $4,365.16	Facility		$134.90	$173.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $295.12	Professional		$134.90	$190.55	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $302.00	Professional	50	$229.09	$229.09	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $478.63	Professional		$269.15	$380.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $524.81	Facility		$112.20	$194.98	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $1,479.11	Professional		$138.04	$295.12	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $363.08	Professional		$295.12	$295.12	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $354.81	Professional		$173.78	$263.03	$354.81
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 $151.36 / $257.04 / $426.58	Professional		$151.36	$257.04	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $371.54	Professional		$239.88	$295.12	$371.54