Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $174.09 / $475.73	Facility		$174.09	$174.09	$475.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $144.46 / $174.09	Professional		$96.30	$144.46	$174.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.48 / $369.48 / $369.48	Facility		$369.48	$369.48	$369.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.68 / $336.84 / $421.06	Professional		$260.68	$336.84	$421.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.79 / $209.70 / $339.98	Facility		$174.79	$209.70	$339.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $111.12 / $339.50	Professional		$94.45	$111.12	$339.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $240.76 / $405.89	Facility		$222.24	$240.76	$405.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $310.77 / $405.89	Professional		$222.24	$310.77	$405.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $446.20 / $508.78	Professional		$264.83	$446.20	$508.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $94.45 / $185.20	Professional		$77.78	$94.45	$185.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Professional		$185.20	$185.20	$185.20