Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $114.33 / $114.33	Facility		$114.33	$114.33	$114.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $114.33 / $121.63	Professional		$81.48	$114.33	$121.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.19 / $242.19 / $242.19	Facility		$242.19	$242.19	$242.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $220.65 / $275.81	Professional		$170.76	$220.65	$275.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $163.38 / $223.28	Facility		$116.53	$163.38	$223.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $85.09 / $250.26	Professional		$72.98	$85.09	$250.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.96 / $266.56 / $331.60	Facility		$156.96	$266.56	$331.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $247.80 / $317.45	Professional		$145.96	$247.80	$317.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $293.04 / $334.14	Professional		$173.93	$293.04	$334.14
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $85.09 / $160.55	Professional		$51.08	$85.09	$160.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $121.63 / $121.63	Professional		$121.63	$121.63	$121.63