Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $103.66 / $103.66	Facility		$103.66	$103.66	$103.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $106.99 / $110.17	Professional		$103.66	$106.99	$110.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $150.78	Facility		$68.84	$68.84	$150.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $145.06 / $179.53	Professional		$143.63	$145.06	$179.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $138.72 / $584.39	Facility		$93.68	$138.72	$584.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $75.05 / $155.16	Professional		$44.95	$75.05	$155.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $150.78 / $211.42	Facility		$125.38	$150.78	$211.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $152.91 / $288.14	Professional		$123.50	$152.91	$288.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $110.17 / $130.94	Professional		$94.11	$110.17	$130.94
United Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $73.28 / $130.76	Professional		$43.04	$73.28	$130.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $134.33 / $134.33	Professional		$134.33	$134.33	$134.33