Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.13 / $125.13 / $125.13	Facility		$125.13	$125.13	$125.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $125.13	Professional		$96.72	$96.72	$125.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $248.22 / $310.27	Professional		$203.00	$248.22	$310.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $176.91 / $293.76	Facility		$128.38	$176.91	$293.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $203.53 / $1,186.72	Professional		$118.33	$203.53	$1,186.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $236.12 / $360.01	Facility		$202.40	$236.12	$360.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $236.12 / $360.01	Professional		$202.40	$236.12	$360.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $174.87 / $228.84	Professional		$122.33	$174.87	$228.84
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $197.22 / $209.18	Professional		$129.02	$197.22	$209.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $213.60 / $213.60	Professional		$181.60	$213.60	$213.60