Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.42 / $198.95	Professional		$164.41	$164.42	$198.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $209.39 / $209.39	Professional		$167.51	$209.39	$209.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $277.87 / $450.51	Facility		$224.00	$277.87	$450.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $180.86 / $180.86	Professional		$164.42	$180.86	$180.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $197.31 / $207.71	Facility		$151.91	$197.31	$207.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $180.29 / $237.23	Professional		$143.30	$180.29	$237.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $199.89 / $295.49	Professional		$199.89	$199.89	$295.49
United Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $180.86 / $208.76	Professional		$180.86	$180.86	$208.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Professional		$164.42	$164.42	$164.42