Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $316.23	Professional		$87.10	$144.54	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $263.03	Professional		$107.15	$204.17	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $245.47	Facility		$87.10	$165.96	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $1,071.52	Professional		$125.89	$190.55	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $229.09	Professional		$165.96	$229.09	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $269.15	Professional		$181.97	$269.15	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $257.04	Professional		$144.54	$190.55	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $239.88	Professional		$112.20	$173.78	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $239.88	Professional		$229.09	$239.88	$239.88