Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $32.90 / $32.90	Facility		$23.84	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $83.46 / $210.02	Professional		$23.84	$83.46	$210.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $68.17 / $95.44	Professional		$50.40	$68.17	$95.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $56.14 / $392.69	Facility		$34.71	$56.14	$392.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $195.79 / $1,928.00	Professional		$47.42	$195.79	$1,928.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $102.18 / $1,123.16	Facility		$61.93	$102.18	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $176.59 / $361.51	Professional		$53.12	$176.59	$361.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $54.99 / $247.17	Professional		$35.21	$54.99	$247.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $90.77 / $373.73	Professional		$39.07	$90.77	$373.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $57.30 / $78.50	Professional		$46.80	$57.30	$78.50