Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $263.03	Professional		$107.15	$208.93	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $416.87	Professional		$331.13	$338.84	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $691.83	Facility		$263.03	$389.05	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $2,137.96	Professional		$173.78	$288.40	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $407.38	Professional		$398.11	$407.38	$407.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $794.33	Professional		$398.11	$398.11	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $380.19	Professional		$288.40	$323.59	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $363.08	Professional		$173.78	$234.42	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08