Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $190.51	Facility		$23.90	$23.90	$190.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $147.11 / $189.46	Professional		$127.56	$147.11	$189.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $300.07	Facility		$135.00	$135.00	$300.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $397.50	Professional		$318.00	$318.00	$397.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.46 / $320.19 / $1,281.52	Facility		$189.46	$320.19	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $176.66 / $299.20	Professional		$110.42	$176.66	$299.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.51 / $300.07 / $470.05	Facility		$249.51	$300.07	$470.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $304.32 / $573.45	Professional		$245.78	$304.32	$573.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $270.66 / $321.73	Professional		$231.18	$270.66	$321.73
United Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $193.80 / $315.32	Professional		$101.83	$193.80	$315.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $259.14 / $259.14	Professional		$259.14	$259.14	$259.14