Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $309.64 / $655.47	Facility		$54.81	$309.64	$655.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $61.07 / $301.50	Professional		$58.70	$61.07	$301.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Facility		$143.47	$143.47	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.07 / $152.59	Professional		$77.23	$122.07	$152.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.54 / $107.98 / $321.95	Facility		$64.54	$107.98	$321.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $47.12 / $94.11	Professional		$40.42	$47.12	$94.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $137.22 / $211.17	Facility		$86.92	$137.22	$211.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $137.22 / $183.99	Professional		$86.92	$137.22	$183.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $157.29 / $185.05	Professional		$109.99	$157.29	$185.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $47.12 / $80.83	Professional		$28.29	$47.12	$80.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36