Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $162.18	Facility		$144.54	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $169.82	Professional		$85.11	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $218.78	Facility		$67.61	$67.61	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $281.84	Professional		$223.87	$223.87	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $199.53 / $524.81	Facility		$154.88	$199.53	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $977.24	Professional		$79.43	$131.83	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $213.80	Professional		$177.83	$213.80	$213.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Professional		$177.83	$177.83	$354.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $263.03	Professional		$165.96	$194.98	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $204.17	Professional		$77.62	$131.83	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98