Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $130.87 / $163.13	Professional		$129.47	$130.87	$163.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $131.93 / $131.93	Facility		$131.93	$131.93	$131.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $131.93 / $164.91	Professional		$131.93	$131.93	$164.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $185.30 / $355.05	Facility		$147.18	$185.30	$355.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.58 / $142.54	Professional		$129.47	$129.58	$142.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $155.49 / $225.19	Facility		$154.41	$155.49	$225.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $155.40 / $319.54	Professional		$146.69	$155.40	$319.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $141.69	Professional		$141.69	$141.69	$141.69
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $142.43	Professional		$129.47	$129.47	$142.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Facility		$129.58	$129.58	$129.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Professional		$129.58	$129.58	$129.58