Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $246.39 / $246.39	Facility		$246.39	$246.39	$246.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $221.67 / $246.39	Professional		$190.25	$221.67	$246.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $388.15	Facility		$197.94	$197.94	$388.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $411.00 / $513.75	Professional		$411.00	$411.00	$513.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $414.17 / $1,651.29	Facility		$245.07	$414.17	$1,651.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $228.52 / $387.02	Professional		$142.83	$228.52	$387.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $322.74 / $388.15 / $607.92	Facility		$322.74	$388.15	$607.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $393.61 / $741.74	Professional		$317.89	$393.61	$741.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $350.10 / $416.15	Professional		$299.04	$350.10	$416.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $178.85 / $298.08	Professional		$123.74	$178.85	$298.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $345.80 / $345.80	Professional		$345.80	$345.80	$345.80