Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $136.30 / $240.89	Professional		$99.01	$136.30	$240.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $312.61 / $423.64	Professional		$246.38	$312.61	$423.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $362.50 / $1,082.32	Professional		$158.80	$362.50	$1,082.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $271.32 / $347.32	Professional		$207.00	$271.32	$347.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $211.73 / $273.83	Professional		$146.38	$211.73	$273.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $264.66 / $378.73	Professional		$158.80	$264.66	$378.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $252.20 / $338.60	Professional		$206.20	$252.20	$338.60