Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $312.97 / $312.97	Facility		$177.93	$312.97	$312.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $205.80 / $275.39	Professional		$155.38	$205.80	$275.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $407.68 / $619.04	Professional		$233.74	$407.68	$619.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.43 / $300.70 / $427.96	Facility		$205.43	$300.70	$427.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $467.60 / $1,749.17	Professional		$260.51	$467.60	$1,749.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $311.82 / $399.32 / $542.21	Facility		$311.82	$399.32	$542.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $395.24 / $492.17	Professional		$278.99	$395.24	$492.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $272.79 / $371.97 / $532.40	Professional		$272.79	$371.97	$532.40
United Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $408.93 / $506.57	Professional		$225.47	$408.93	$506.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $280.30 / $401.20	Professional		$272.10	$280.30	$401.20