Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $135.44 / $163.24	Professional		$116.35	$135.44	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.98 / $345.98 / $345.98	Facility		$345.98	$345.98	$345.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.35 / $315.30 / $394.13	Professional		$249.35	$315.30	$394.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $266.64 / $514.54	Facility		$166.38	$266.64	$514.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $182.53 / $1,367.63	Professional		$104.20	$182.53	$1,367.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.10 / $369.62 / $544.41	Facility		$224.10	$369.62	$544.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $338.86 / $476.51	Professional		$224.10	$338.86	$476.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $212.08 / $418.40 / $477.08	Professional		$212.08	$418.40	$477.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $173.66 / $312.58	Professional		$104.20	$173.66	$312.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $173.66	Professional		$173.66	$173.66	$173.66