Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $173.78	Professional		$95.50	$125.89	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $263.03	Facility		$125.89	$208.93	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $933.25	Professional		$288.40	$346.74	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $229.09	Professional		$125.89	$125.89	$229.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80