Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $150.00 / $191.38	Professional		$131.90	$150.00	$191.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $230.97	Facility		$139.66	$139.66	$230.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $250.13 / $312.66	Professional		$250.13	$250.13	$312.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $284.33 / $1,100.50	Facility		$187.52	$284.33	$1,100.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $160.30 / $269.33	Professional		$95.11	$160.30	$269.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.05 / $230.97 / $402.93	Facility		$192.05	$230.97	$402.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $238.66 / $501.91	Professional		$209.13	$238.66	$501.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $233.53 / $273.39 / $324.98	Professional		$233.53	$273.39	$324.98
United Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $122.21 / $232.78	Professional		$82.02	$122.21	$232.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $205.77 / $205.77 / $205.77	Professional		$205.77	$205.77	$205.77