Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.93 / $267.93 / $267.93	Facility		$267.93	$267.93	$267.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $267.93 / $267.93	Professional		$190.97	$267.93	$267.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.94 / $567.94 / $567.94	Facility		$567.94	$567.94	$567.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $517.66 / $647.09	Professional		$327.51	$517.66	$647.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $273.08 / $1,353.89	Facility		$160.91	$273.08	$1,353.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $176.46 / $342.04	Professional		$60.00	$176.46	$342.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.22 / $361.03 / $522.64	Facility		$193.22	$361.03	$522.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $275.99 / $743.93	Professional		$129.63	$275.99	$743.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $665.57 / $783.03	Professional		$184.60	$665.57	$783.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.71 / $285.02	Professional		$60.00	$119.71	$285.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $285.02 / $285.02	Professional		$285.02	$285.02	$285.02