Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $373.74	Facility		$140.75	$140.75	$373.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $154.82 / $363.54	Professional		$140.75	$154.82	$363.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $161.82 / $179.25	Professional		$143.40	$161.82	$179.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $201.27 / $385.66	Facility		$173.08	$201.27	$385.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $158.93 / $158.93	Professional		$140.75	$158.93	$158.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $168.90 / $199.79	Facility		$151.91	$168.90	$199.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $162.05 / $211.13	Professional		$143.30	$162.05	$211.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $147.12 / $147.12	Professional		$79.58	$147.12	$147.12
United Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $158.93 / $163.26	Professional		$158.93	$158.93	$163.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Facility		$140.75	$140.75	$140.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75