Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.04 / $198.04 / $198.04	Facility		$198.04	$198.04	$198.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $198.04 / $216.86	Professional		$185.01	$198.04	$216.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $260.76	Facility		$138.76	$138.76	$260.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.13 / $274.13 / $342.66	Professional		$274.13	$274.13	$342.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.66 / $285.70 / $1,184.51	Facility		$187.66	$285.70	$1,184.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $147.72 / $270.95	Professional		$88.47	$147.72	$270.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $260.76 / $426.16	Facility		$216.81	$260.76	$426.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $264.42 / $498.28	Professional		$213.55	$264.42	$498.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $216.86 / $257.77	Professional		$185.23	$216.86	$257.77
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $147.72 / $196.80	Professional		$86.74	$147.72	$196.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.31 / $232.31 / $232.31	Professional		$232.31	$232.31	$232.31