Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $57.23 / $68.97	Professional		$49.16	$57.23	$68.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Facility		$146.22	$146.22	$146.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $133.16 / $166.46	Professional		$103.06	$133.16	$166.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $83.08 / $134.69	Facility		$69.23	$83.08	$134.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $44.02 / $134.53	Professional		$38.47	$44.02	$134.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $134.53 / $167.65	Facility		$94.67	$134.53	$167.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.53 / $160.80	Professional		$88.04	$134.53	$160.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $176.77 / $201.56	Professional		$104.92	$176.77	$201.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $38.47 / $113.16	Professional		$30.82	$38.47	$113.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37