Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.33 / $147.33 / $147.33	Facility		$147.33	$147.33	$147.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $147.33 / $157.93	Professional		$147.33	$147.33	$157.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.50 / $344.50 / $430.63	Facility		$344.50	$344.50	$430.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $267.75 / $334.69	Professional		$267.75	$267.75	$334.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.58 / $266.89 / $432.73	Facility		$172.58	$266.89	$432.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $184.08 / $1,540.67	Professional		$92.04	$184.08	$1,540.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $263.22 / $332.51	Facility		$253.38	$263.22	$332.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.30 / $254.12 / $410.31	Professional		$211.30	$254.12	$410.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $231.02 / $305.77	Professional		$192.71	$231.02	$305.77
United Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $115.25 / $192.09	Professional		$76.70	$115.25	$192.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.92 / $207.92 / $207.92	Professional		$207.92	$207.92	$207.92