Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.84 / $193.84 / $193.84	Facility		$193.84	$193.84	$193.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $193.84 / $254.27	Professional		$175.25	$193.84	$254.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $306.87	Facility		$174.32	$174.32	$306.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.25 / $323.25 / $404.06	Professional		$323.25	$323.25	$404.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $377.77 / $1,530.87	Facility		$242.33	$377.77	$1,530.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $212.97 / $367.98	Professional		$126.37	$212.97	$367.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.16 / $306.87 / $535.35	Facility		$255.16	$306.87	$535.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $317.06 / $666.83	Professional		$277.85	$317.06	$666.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $363.24 / $431.77	Professional		$310.26	$363.24	$431.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $162.37 / $309.27	Professional		$108.97	$162.37	$309.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $273.39 / $273.39	Professional		$273.39	$273.39	$273.39