Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $93.59 / $321.58	Facility		$93.59	$93.59	$321.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $93.07 / $179.02	Professional		$77.92	$93.07	$179.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $233.80 / $292.25	Professional		$177.23	$233.80	$292.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $112.71 / $213.50	Facility		$77.92	$112.71	$213.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $166.91 / $258.30	Professional		$91.79	$166.91	$258.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $181.14 / $237.04	Facility		$138.62	$181.14	$237.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $186.88 / $277.91	Professional		$138.62	$186.88	$277.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $155.91 / $217.36	Professional		$112.17	$155.91	$217.36
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $165.52 / $229.48	Professional		$88.94	$165.52	$229.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $190.60 / $233.30	Professional		$190.60	$190.60	$233.30