Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $91.20	Facility		$83.18	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $125.89	Professional		$77.62	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $251.19	Professional		$162.18	$199.53	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $154.88	Facility		$75.86	$117.49	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $199.53	Professional		$70.79	$104.71	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $169.82 / $177.83	Professional		$165.96	$169.82	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $162.18	Professional		$89.13	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $177.83	Professional		$77.62	$120.23	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $169.82	Professional		$141.25	$169.82	$169.82