Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.01 / $272.01 / $272.01	Facility		$272.01	$272.01	$272.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $272.01 / $326.33	Professional		$231.63	$272.01	$326.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $405.58	Facility		$227.07	$227.07	$405.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.75 / $453.75 / $567.19	Professional		$453.75	$453.75	$567.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.50 / $484.83 / $1,873.73	Facility		$275.50	$484.83	$1,873.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $273.33 / $461.09	Professional		$162.18	$273.33	$461.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.24 / $405.58 / $687.08	Facility		$337.24	$405.58	$687.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $367.24 / $411.31 / $855.81	Professional		$367.24	$411.31	$855.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.19 / $466.19 / $554.14	Professional		$398.19	$466.19	$554.14
United Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $208.39 / $396.93	Professional		$139.86	$208.39	$396.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $350.27 / $350.27 / $350.27	Professional		$350.27	$350.27	$350.27