Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $216.63 / $216.63	Facility		$216.63	$216.63	$216.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $216.63 / $228.84	Professional		$178.62	$216.63	$228.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $251.74	Facility		$175.58	$175.58	$251.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $300.00 / $375.00	Professional		$298.70	$300.00	$375.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $314.81 / $1,083.05	Facility		$172.43	$314.81	$1,083.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $155.87 / $261.61	Professional		$93.36	$155.87	$261.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.33 / $251.74 / $400.13	Facility		$209.33	$251.74	$400.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $255.29 / $481.08	Professional		$206.18	$255.29	$481.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $228.84 / $272.01	Professional		$195.46	$228.84	$272.01
United Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $138.69 / $194.84	Professional		$81.45	$138.69	$194.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.27 / $224.27 / $224.27	Professional		$224.27	$224.27	$224.27