Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.62 / $80.62 / $80.62	Facility		$80.62	$80.62	$80.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $80.62 / $80.62	Professional		$80.62	$80.62	$80.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.03 / $171.03 / $171.03	Facility		$171.03	$171.03	$171.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $208.24 / $260.30	Professional		$133.06	$208.24	$260.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $129.57 / $543.54	Facility		$80.95	$129.57	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $77.19 / $142.94	Professional		$48.60	$77.19	$142.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $181.43 / $186.86	Facility		$110.68	$181.43	$186.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $186.86 / $223.86	Professional		$110.68	$186.86	$223.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $267.20 / $314.36	Professional		$85.77	$267.20	$314.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $51.46 / $137.32	Professional		$48.06	$51.46	$137.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43