Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $134.07 / $134.07	Facility		$134.07	$134.07	$134.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $103.11 / $134.07	Professional		$92.71	$103.11	$134.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.62 / $284.62 / $284.62	Facility		$284.62	$284.62	$284.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $259.16 / $323.95	Professional		$200.56	$259.16	$323.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $161.50 / $261.83	Facility		$134.62	$161.50	$261.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $85.58 / $261.45	Professional		$72.73	$85.58	$261.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $185.42 / $312.58	Facility		$171.16	$185.42	$312.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $239.34 / $312.58	Professional		$171.16	$239.34	$312.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.96 / $343.64 / $391.83	Professional		$203.96	$343.64	$391.83
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $72.73 / $142.63	Professional		$59.90	$72.73	$142.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63