Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $108.15 / $108.15	Facility		$108.15	$108.15	$108.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $94.32 / $108.15	Professional		$91.14	$94.32	$108.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $169.10	Facility		$86.21	$86.21	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $180.38 / $225.47	Professional		$175.87	$180.38	$225.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $159.40 / $706.68	Facility		$105.07	$159.40	$706.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $87.95 / $168.61	Professional		$54.97	$87.95	$168.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $169.10 / $264.77	Facility		$140.61	$169.10	$264.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $171.49 / $323.18	Professional		$138.50	$171.49	$323.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $134.74 / $160.16	Professional		$115.09	$134.74	$160.16
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $80.30 / $155.65	Professional		$53.90	$80.30	$155.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $150.66 / $150.66	Professional		$150.66	$150.66	$150.66