Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.60 / $128.60 / $128.60	Facility		$128.60	$128.60	$128.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $128.60 / $199.92	Professional		$119.83	$128.60	$199.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $168.89	Facility		$99.32	$99.32	$168.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $222.66	Professional		$178.13	$178.13	$222.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $207.92 / $799.68	Facility		$128.41	$207.92	$799.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $127.67 / $191.75	Professional		$70.81	$127.67	$191.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $168.89 / $294.64	Facility		$140.44	$168.89	$294.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $174.50 / $367.02	Professional		$152.91	$174.50	$367.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $199.92 / $237.63	Professional		$170.77	$199.92	$237.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $136.07 / $170.22	Professional		$63.84	$136.07	$170.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $150.47 / $150.47	Professional		$150.47	$150.47	$150.47