Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $131.83	Facility		$109.65	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $131.83	Professional		$67.61	$93.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Facility		$117.49	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $281.84	Facility		$114.82	$162.18	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $891.25	Professional		$60.26	$100.00	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $169.82	Professional		$141.25	$169.82	$169.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $269.15	Professional		$141.25	$141.25	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $199.53	Professional		$125.89	$151.36	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $194.98	Professional		$60.26	$83.18	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36