Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.02 / $199.02 / $199.02	Facility		$199.02	$199.02	$199.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $199.02 / $199.02	Professional		$167.72	$199.02	$199.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.35 / $432.06 / $540.08	Professional		$353.35	$432.06	$540.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $283.45 / $459.55	Facility		$227.35	$283.45	$459.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $272.13 / $449.63	Professional		$176.51	$272.13	$449.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.40 / $437.27 / $510.14	Facility		$391.40	$437.27	$510.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $403.01 / $534.58	Professional		$284.00	$403.01	$534.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $212.53 / $312.07 / $358.79	Professional		$212.53	$312.07	$358.79
United Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $299.94 / $418.02	Professional		$222.89	$299.94	$418.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $369.40 / $369.40	Professional		$314.00	$369.40	$369.40