Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $114.60 / $380.70	Facility		$114.60	$114.60	$380.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $114.60 / $114.60	Professional		$95.09	$114.60	$114.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.84 / $242.84 / $242.84	Facility		$242.84	$242.84	$242.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $221.30 / $276.62	Professional		$175.01	$221.30	$276.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $138.04 / $223.80	Facility		$115.06	$138.04	$223.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $76.77 / $295.13	Professional		$73.15	$76.77	$295.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.31 / $267.17 / $312.08	Facility		$157.31	$267.17	$312.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $267.17 / $295.13	Professional		$146.29	$267.17	$295.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $293.72 / $334.91	Professional		$174.33	$293.72	$334.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $76.77 / $121.91	Professional		$51.20	$76.77	$121.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Professional		$121.91	$121.91	$121.91