Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $125.89	Facility		$123.03	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $162.18	Professional		$67.61	$120.23	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Facility		$97.72	$97.72	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $457.09	Facility		$125.89	$169.82	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $1,000.00	Professional		$67.61	$109.65	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $173.78	Professional		$141.25	$169.82	$173.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $302.00	Professional		$141.25	$141.25	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $223.87	Professional		$141.25	$169.82	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $162.18	Professional		$60.26	$107.15	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36