Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.85 / $145.85 / $145.85	Facility		$145.85	$145.85	$145.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $131.25 / $145.85	Professional		$112.64	$131.25	$145.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $229.83	Facility		$140.54	$140.54	$229.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $245.81 / $304.22	Professional		$243.38	$245.81	$304.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $245.19 / $977.65	Facility		$145.08	$245.19	$977.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $135.29 / $229.16	Professional		$84.56	$135.29	$229.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.09 / $229.83 / $359.93	Facility		$191.09	$229.83	$359.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $233.06 / $439.18	Professional		$188.23	$233.06	$439.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $207.26 / $246.36	Professional		$177.03	$207.26	$246.36
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $105.88 / $176.47	Professional		$73.26	$105.88	$176.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $198.49 / $198.49	Professional		$198.49	$198.49	$198.49