Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Professional		$138.04	$138.04	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $263.03	Facility		$169.82	$208.93	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $162.18	Professional		$131.83	$131.83	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $194.98	Facility		$109.65	$181.97	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,023.29	Professional		$109.65	$109.65	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $154.88	Professional		$131.83	$131.83	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $302.00	Professional		$125.89	$239.88	$302.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04