Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $144.54	Facility		$95.50	$107.15	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $169.82	Professional		$100.00	$125.89	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $234.42	Professional		$114.82	$186.21	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $239.88	Facility		$125.89	$144.54	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $912.01	Professional		$107.15	$151.36	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $371.54	Professional		$151.36	$245.47	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $251.19	Professional		$177.83	$181.97	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $295.12	Professional		$154.88	$199.53	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $295.12	Professional		$107.15	$144.54	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $213.80	Professional		$144.54	$186.21	$213.80