Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $218.78	Professional		$120.23	$151.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $398.11	Professional		$257.04	$316.23	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $331.13	Facility		$165.96	$204.17	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $416.87	Professional		$154.88	$245.47	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $302.00	Professional		$190.55	$257.04	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $371.54	Professional		$158.49	$275.42	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $263.03	Professional		$223.87	$263.03	$263.03