Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $78.29 / $78.29	Facility		$78.29	$78.29	$78.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $78.45 / $119.41	Professional		$66.98	$78.45	$119.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $171.43 / $214.29	Professional		$112.16	$171.43	$214.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $113.21 / $169.34	Facility		$102.51	$113.21	$169.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $146.54 / $484.57	Professional		$81.09	$146.54	$484.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $174.94 / $249.06	Facility		$148.60	$174.94	$249.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $167.36 / $189.76	Professional		$142.24	$167.36	$189.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $124.83 / $142.32	Professional		$95.89	$124.83	$142.32
United Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $106.08 / $162.18	Professional		$87.93	$106.08	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $153.50 / $153.50	Professional		$130.40	$153.50	$153.50