Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $127.79	Facility		$127.79	$127.79	$127.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $115.47 / $127.79	Professional		$110.39	$115.47	$127.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $202.18	Facility		$126.23	$126.23	$202.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $213.38 / $266.72	Professional		$213.38	$213.38	$266.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.65 / $212.35 / $1,009.99	Facility		$125.65	$212.35	$1,009.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $122.26 / $218.15	Professional		$73.23	$122.26	$218.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $202.18 / $352.73	Facility		$168.11	$202.18	$352.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $205.03 / $386.39	Professional		$165.59	$205.03	$386.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $179.50 / $213.36	Professional		$153.31	$179.50	$213.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $106.98 / $162.88	Professional		$71.80	$106.98	$162.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $180.12 / $180.12	Professional		$180.12	$180.12	$180.12