Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $109.21 / $109.21	Facility		$109.21	$109.21	$109.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $104.70 / $120.30	Professional		$91.54	$104.70	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $163.13 / $217.97	Professional		$130.50	$163.13	$217.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $126.97 / $227.92	Facility		$95.41	$126.97	$227.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $191.50 / $882.23	Professional		$120.37	$191.50	$882.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $202.51 / $278.12	Facility		$151.77	$202.51	$278.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $178.78 / $271.13	Professional		$151.77	$178.78	$271.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $197.96 / $291.32	Professional		$141.44	$197.96	$291.32
United Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $185.24 / $229.80	Professional		$124.94	$185.24	$229.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $175.50 / $231.10	Professional		$144.80	$175.50	$231.10