Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.72 / $118.72 / $118.72	Facility		$118.72	$118.72	$118.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $117.00 / $160.30	Professional		$89.98	$117.00	$160.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $229.79 / $229.79	Facility		$229.79	$229.79	$229.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $209.55 / $261.94	Professional		$132.57	$209.55	$261.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $184.94 / $547.96	Facility		$108.88	$184.94	$547.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $103.82 / $237.36	Professional		$69.22	$103.82	$237.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $235.01 / $361.65	Facility		$148.86	$235.01	$361.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $235.01 / $330.50	Professional		$138.43	$235.01	$330.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $277.94 / $316.92	Professional		$188.38	$277.94	$316.92
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $80.70 / $138.43	Professional		$48.45	$80.70	$138.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $115.36	Professional		$115.36	$115.36	$115.36