Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.23 / $265.91 / $265.91	Facility		$229.23	$265.91	$265.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $265.91 / $700.00	Professional		$189.53	$265.91	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.02 / $564.02 / $564.02	Facility		$564.02	$564.02	$564.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.81 / $514.41 / $643.01	Professional		$406.81	$514.41	$643.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.73 / $320.31 / $449.39	Facility		$167.73	$320.31	$449.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $169.73 / $518.70	Professional		$144.27	$169.73	$518.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $365.04 / $518.70 / $628.64	Facility		$365.04	$518.70	$628.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $518.70 / $619.96	Professional		$339.46	$518.70	$619.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $681.54 / $777.13	Professional		$404.52	$681.54	$777.13
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $254.59	Professional		$118.81	$169.73	$254.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Professional		$282.88	$282.88	$282.88