Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $135.60 / $135.60	Facility		$135.60	$135.60	$135.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $135.11 / $135.60	Professional		$121.96	$135.11	$135.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $213.55	Facility		$112.22	$112.22	$213.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.13 / $228.39 / $282.66	Professional		$226.13	$228.39	$282.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.11 / $228.34 / $908.81	Facility		$135.11	$228.34	$908.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $125.98 / $212.93	Professional		$78.73	$125.98	$212.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.57 / $213.55 / $334.59	Facility		$177.57	$213.55	$334.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $216.57 / $408.12	Professional		$174.91	$216.57	$408.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $193.01 / $229.42	Professional		$164.86	$193.01	$229.42
United Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $98.60 / $164.33	Professional		$68.09	$98.60	$164.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $190.26 / $190.26	Professional		$190.26	$190.26	$190.26