Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $274.79	Professional		$227.28	$227.28	$274.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $227.28 / $282.38	Professional		$225.90	$227.28	$282.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $383.80 / $454.20	Facility		$227.10	$383.80	$454.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $252.81 / $9,490.31	Professional		$227.10	$252.81	$9,490.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.38 / $291.32 / $368.29	Facility		$235.38	$291.32	$368.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $266.33 / $340.65	Professional		$202.59	$266.33	$340.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $248.72 / $248.72 / $250.67	Professional		$248.72	$248.72	$250.67
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $278.31	Professional		$227.28	$227.28	$278.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Facility		$248.52	$248.52	$248.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Professional		$248.52	$248.52	$248.52