Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $163.06 / $163.06	Facility		$163.06	$163.06	$163.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $163.06 / $192.55	Professional		$151.19	$163.06	$192.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $213.08	Facility		$67.73	$67.73	$213.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $225.75 / $282.19	Professional		$225.75	$225.75	$282.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $275.57 / $836.27	Facility		$144.80	$275.57	$836.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $131.15 / $221.44	Professional		$78.55	$131.15	$221.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.18 / $213.08 / $333.82	Facility		$177.18	$213.08	$333.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $216.08 / $407.19	Professional		$174.53	$216.08	$407.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $192.55 / $228.87	Professional		$164.47	$192.55	$228.87
United Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $130.75 / $163.94	Professional		$67.95	$130.75	$163.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Professional		$193.71	$193.71	$193.71