Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $141.40 / $141.40	Facility		$141.40	$141.40	$141.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $141.40 / $164.81	Professional		$124.56	$141.40	$164.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $273.58 / $341.97	Professional		$234.61	$273.58	$341.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $156.04 / $307.37	Facility		$112.55	$156.04	$307.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $263.62 / $839.64	Professional		$136.29	$263.62	$839.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.83 / $254.90 / $299.49	Facility		$200.83	$254.90	$299.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $263.62 / $280.98	Professional		$200.83	$263.62	$280.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $213.91 / $251.64	Professional		$147.58	$213.91	$251.64
United Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $231.08 / $287.39	Professional		$136.29	$231.08	$287.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $317.60 / $317.60	Professional		$259.60	$317.60	$317.60