Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $1,258.93	Facility		$204.17	$204.17	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $446.68	Facility		$169.82	$354.81	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Professional		$269.15	$269.15	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $1,071.52	Facility		$234.42	$398.11	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $1,778.28	Professional		$234.42	$234.42	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $316.23	Professional		$281.84	$281.84	$316.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,047.13	Professional		$125.89	$263.03	$1,047.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17