Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.26 / $868.85 / $1,327.17	Facility		$250.26	$868.85	$1,327.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $250.26 / $330.47	Professional		$208.33	$250.26	$330.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $530.58 / $663.22	Professional		$433.91	$530.58	$663.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.33 / $352.08 / $570.82	Facility		$195.33	$352.08	$570.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $474.46 / $581.70	Professional		$216.00	$474.46	$581.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.10 / $476.08 / $757.40	Facility		$247.10	$476.08	$757.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $551.13 / $693.06	Professional		$158.00	$551.13	$693.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $263.56 / $373.47	Professional		$99.85	$263.56	$373.47
United Facility/Professional Professional Modifier Low / Median / High Price $248.86 / $316.31 / $547.94	Professional		$248.86	$316.31	$547.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $488.70 / $488.70	Professional		$415.40	$488.70	$488.70