Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $139.51 / $139.51	Professional		$99.43	$139.51	$139.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.72 / $295.72 / $295.72	Facility		$295.72	$295.72	$295.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $269.61 / $337.01	Professional		$170.57	$269.61	$337.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $237.93 / $704.95	Facility		$142.18	$237.93	$704.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $133.57 / $305.37	Professional		$89.05	$133.57	$305.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $302.36 / $465.27	Facility		$191.51	$302.36	$465.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $328.00 / $425.19	Professional		$191.51	$328.00	$425.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $357.56 / $407.71	Professional		$242.35	$357.56	$407.71
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $103.83 / $178.09	Professional		$62.33	$103.83	$178.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41