Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.46 / $206.46 / $206.46	Facility		$206.46	$206.46	$206.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $172.58 / $206.46	Professional		$156.65	$172.58	$206.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $302.20	Facility		$190.78	$190.78	$302.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.63 / $344.63 / $430.78	Professional		$344.63	$344.63	$430.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.93 / $335.55 / $1,353.88	Facility		$200.93	$335.55	$1,353.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $187.35 / $309.57	Professional		$117.10	$187.35	$309.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.27 / $302.20 / $500.56	Facility		$251.27	$302.20	$500.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $306.45 / $577.49	Professional		$250.54	$306.45	$577.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $287.04 / $341.19	Professional		$245.16	$287.04	$341.19
United Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $146.63 / $244.40	Professional		$101.89	$146.63	$244.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $269.24 / $269.24	Professional		$269.24	$269.24	$269.24