Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $78.73 / $78.73	Facility		$78.73	$78.73	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $78.73 / $78.73	Professional		$78.73	$78.73	$78.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $167.12 / $167.12	Facility		$167.12	$167.12	$167.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $152.10 / $190.13	Professional		$97.19	$152.10	$190.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $94.84 / $397.86	Facility		$79.05	$94.84	$397.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $75.38 / $125.64	Professional		$42.72	$75.38	$125.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.51 / $153.18 / $164.84	Facility		$100.51	$153.18	$164.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $164.84 / $218.61	Professional		$100.59	$164.84	$218.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $201.80 / $230.11	Professional		$83.76	$201.80	$230.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $50.26 / $83.76	Professional		$35.18	$50.26	$83.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Professional		$83.76	$83.76	$83.76