Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $112.20	Facility		$95.50	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $112.20	Professional		$70.79	$81.28	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $234.42	Professional		$186.21	$186.21	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $138.04 / $251.19	Facility		$123.03	$138.04	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $1,412.54	Professional		$52.48	$85.11	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $147.91	Professional		$123.03	$147.91	$147.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $239.88	Professional		$123.03	$123.03	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $173.78	Professional		$109.65	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $165.96	Professional		$52.48	$74.13	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83