Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $211.11	Professional		$191.91	$191.92	$211.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $306.31 / $382.89	Professional		$306.31	$306.31	$382.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $275.69 / $525.86	Facility		$170.04	$275.69	$525.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $177.69 / $191.92	Professional		$170.04	$177.69	$191.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $193.85 / $436.73	Facility		$193.85	$193.85	$436.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $193.85 / $436.73	Professional		$184.15	$193.85	$436.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $171.72 / $171.72	Professional		$171.72	$171.72	$171.72
United Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $185.19 / $190.24	Professional		$185.19	$185.19	$190.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Professional		$191.92	$191.92	$191.92