Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $32.06 / $63.71	Facility		$32.06	$32.06	$63.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $55.31 / $85.35	Professional		$31.17	$55.31	$85.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $114.65 / $191.85	Professional		$67.68	$114.65	$191.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $82.99 / $151.55	Facility		$45.95	$82.99	$151.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $145.41 / $478.96	Professional		$67.50	$145.41	$478.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $101.17 / $161.56	Facility		$72.79	$101.17	$161.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $95.16 / $161.56	Professional		$69.30	$95.16	$161.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $78.70 / $130.03	Professional		$52.62	$78.70	$130.03
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $111.94 / $174.13	Professional		$57.54	$111.94	$174.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $78.50 / $157.80	Professional		$64.20	$78.50	$157.80