Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Facility		$162.18	$162.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $275.42	Professional		$162.18	$162.18	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $199.53	Professional		$158.49	$162.18	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $323.59	Facility		$162.18	$162.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $3,630.78	Professional		$162.18	$181.97	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $245.47	Professional		$181.97	$199.53	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Professional		$177.83	$177.83	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $194.98	Professional		$162.18	$181.97	$194.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83