Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.48 / $122.48 / $122.48	Facility		$122.48	$122.48	$122.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $122.48 / $143.16	Professional		$116.50	$122.48	$143.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $204.01	Facility		$110.15	$110.15	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $255.47	Professional		$204.38	$204.38	$255.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $226.87 / $923.64	Facility		$143.16	$226.87	$923.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $133.50 / $209.43	Professional		$79.84	$133.50	$209.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $204.01 / $338.26	Facility		$169.62	$204.01	$338.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $206.85 / $389.83	Professional		$178.53	$206.85	$389.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.70 / $204.52 / $243.11	Professional		$174.70	$204.52	$243.11
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $139.31 / $193.90	Professional		$68.86	$139.31	$193.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $181.75 / $181.75	Professional		$181.75	$181.75	$181.75