Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $188.56 / $318.06	Facility		$117.96	$188.56	$318.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $128.08 / $194.91	Professional		$78.81	$128.08	$194.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.02 / $250.02 / $250.02	Facility		$250.02	$250.02	$250.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $227.83 / $284.77	Professional		$180.17	$227.83	$284.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.35 / $472.55	Facility		$120.23	$199.35	$472.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $136.78 / $1,215.00	Professional		$75.29	$136.78	$1,215.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.93 / $275.02 / $393.41	Facility		$161.93	$275.02	$393.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $253.94 / $357.08	Professional		$161.93	$253.94	$357.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $302.33 / $344.75	Professional		$203.54	$302.33	$344.75
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $136.78 / $307.76	Professional		$75.29	$136.78	$307.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $125.49 / $125.49	Professional		$125.49	$125.49	$125.49