Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $163.94 / $163.94	Facility		$163.94	$163.94	$163.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $163.94 / $232.39	Professional		$152.77	$163.94	$232.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $215.30	Facility		$122.31	$122.31	$215.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.88 / $226.88 / $283.58	Professional		$226.88	$226.88	$283.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $252.08 / $1,037.98	Facility		$163.72	$252.08	$1,037.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $154.88 / $237.97	Professional		$90.29	$154.88	$237.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $215.30 / $375.62	Facility		$179.03	$215.30	$375.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $218.34 / $426.60	Professional		$194.95	$218.34	$426.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $232.39 / $276.24	Professional		$198.49	$232.39	$276.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $130.19 / $197.86	Professional		$76.45	$130.19	$197.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $191.82 / $191.82	Professional		$191.82	$191.82	$191.82