Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.05 / $181.05 / $181.05	Facility		$181.05	$181.05	$181.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $181.05 / $213.82	Professional		$167.91	$181.05	$213.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $236.64	Facility		$171.65	$171.65	$236.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $250.50 / $313.13	Professional		$250.50	$250.50	$313.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.06 / $361.36 / $1,006.76	Facility		$196.06	$361.36	$1,006.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $145.65 / $245.93	Professional		$87.23	$145.65	$245.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.77 / $236.64 / $370.65	Facility		$196.77	$236.64	$370.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $239.96 / $452.22	Professional		$193.79	$239.96	$452.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $213.82 / $254.16	Professional		$182.65	$213.82	$254.16
United Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $128.47 / $182.06	Professional		$75.45	$128.47	$182.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $215.13 / $215.13	Professional		$215.13	$215.13	$215.13