Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $338.84	Professional		$147.91	$213.80	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $426.58	Facility		$208.93	$208.93	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $371.54 / $724.44	Facility		$288.40	$371.54	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $1,905.46	Professional		$151.36	$239.88	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $416.87	Professional		$346.74	$416.87	$416.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $691.83	Professional		$346.74	$346.74	$691.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $501.19	Professional		$316.23	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $398.11	Professional		$151.36	$190.55	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81