Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $48.36 / $48.36	Facility		$48.36	$48.36	$48.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $93.51	Professional		$32.50	$39.31	$93.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $102.49 / $102.49	Facility		$102.49	$102.49	$102.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $93.35 / $116.69	Professional		$73.81	$93.35	$116.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $58.25 / $140.19	Facility		$48.56	$58.25	$140.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $30.87 / $94.35	Professional		$26.24	$30.87	$94.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $94.35 / $114.32	Facility		$66.39	$94.35	$114.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $94.35 / $112.75	Professional		$61.74	$94.35	$112.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $123.96 / $141.34	Professional		$73.56	$123.96	$141.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $26.24 / $51.45	Professional		$21.61	$26.24	$51.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Professional		$51.45	$51.45	$51.45