Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $263.20 / $263.20	Facility		$263.20	$263.20	$263.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.60 / $218.40 / $263.20	Professional		$187.60	$218.40	$263.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.14 / $558.14 / $558.14	Facility		$558.14	$558.14	$558.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $508.53 / $635.66	Professional		$402.16	$508.53	$635.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $317.04 / $444.81	Facility		$151.47	$317.04	$444.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $168.00 / $513.41	Professional		$142.80	$168.00	$513.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.32 / $513.41 / $622.23	Facility		$361.32	$513.41	$622.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $513.41 / $613.64	Professional		$336.00	$513.41	$613.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $674.60 / $769.22	Professional		$400.40	$674.60	$769.22
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $142.80 / $280.00	Professional		$117.60	$142.80	$280.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $280.00	Professional		$280.00	$280.00	$280.00