Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $120.29 / $133.72	Professional		$57.02	$120.29	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $153.94 / $210.63	Facility		$107.42	$153.94	$210.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.13 / $223.13 / $278.91	Professional		$223.13	$223.13	$278.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $210.01 / $899.40	Facility		$132.33	$210.01	$899.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $123.99 / $210.01	Professional		$77.50	$123.99	$210.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.12 / $210.63 / $329.90	Facility		$175.12	$210.63	$329.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $213.57 / $402.49	Professional		$175.12	$213.57	$402.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $189.94 / $225.78	Professional		$162.26	$189.94	$225.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $123.99 / $192.46	Professional		$67.15	$123.99	$192.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.91 / $181.91 / $181.91	Professional		$181.91	$181.91	$181.91