Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.62 / $228.62 / $228.62	Facility		$228.62	$228.62	$228.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.16 / $228.62 / $235.14	Professional		$223.16	$228.62	$235.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $314.52	Facility		$108.00	$170.64	$314.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $316.50 / $395.63	Professional		$306.92	$316.50	$395.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $296.05 / $1,269.54	Facility		$201.77	$296.05	$1,269.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $180.98 / $313.61	Professional		$95.93	$180.98	$313.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.51 / $314.52 / $462.08	Facility		$261.51	$314.52	$462.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $318.93 / $601.04	Professional		$257.58	$318.93	$601.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $235.14 / $279.50	Professional		$200.84	$235.14	$279.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $160.16 / $272.94	Professional		$94.06	$160.16	$272.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $280.20 / $280.20	Professional		$280.20	$280.20	$280.20