Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $159.71 / $159.71	Facility		$159.71	$159.71	$159.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $113.83 / $159.71	Professional		$99.41	$113.83	$159.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $338.80 / $338.80	Facility		$338.80	$338.80	$338.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $308.77 / $385.97	Professional		$244.19	$308.77	$385.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $192.37 / $311.89	Facility		$151.63	$192.37	$311.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $101.94 / $311.52	Professional		$66.17	$101.94	$311.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.18 / $264.25 / $372.35	Facility		$210.18	$264.25	$372.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $265.24 / $349.99	Professional		$203.88	$265.24	$349.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $396.73 / $466.75	Professional		$169.90	$396.73	$466.75
United Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $71.36 / $152.91	Professional		$66.17	$71.36	$152.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $169.90 / $169.90	Professional		$169.90	$169.90	$169.90