Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $173.78	Facility		$144.54	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $204.17	Professional		$141.25	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $416.87	Professional		$288.40	$331.13	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $346.74	Facility		$93.33	$218.78	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $977.24	Professional		$125.89	$239.88	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $295.12	Professional		$154.88	$218.78	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $346.74	Professional		$125.89	$239.88	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42