Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $176.86 / $176.86	Facility		$176.86	$176.86	$176.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $131.29 / $176.86	Professional		$130.50	$131.29	$176.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $229.90	Facility		$119.29	$119.29	$229.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.13 / $295.13 / $368.91	Professional		$295.13	$295.13	$368.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $220.55 / $980.51	Facility		$142.82	$220.55	$980.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $121.69 / $229.22	Professional		$76.06	$121.69	$229.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.16 / $229.90 / $366.35	Facility		$191.16	$229.90	$366.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $233.14 / $439.34	Professional		$188.28	$233.14	$439.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $186.43 / $221.60	Professional		$159.24	$186.43	$221.60
United Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $111.11 / $226.58	Professional		$74.56	$111.11	$226.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $204.82 / $204.82	Professional		$204.82	$204.82	$204.82