Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $43.80 / $43.80	Facility		$43.80	$43.80	$43.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $36.35 / $43.80	Professional		$31.22	$36.35	$43.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Facility		$92.70	$92.70	$92.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $84.86 / $106.08	Professional		$67.11	$84.86	$106.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $52.76 / $140.19	Facility		$43.99	$52.76	$140.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $27.96 / $87.22	Professional		$26.95	$27.96	$87.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $87.22 / $117.46	Facility		$60.14	$87.22	$117.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $78.20 / $102.13	Professional		$55.92	$78.20	$102.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $112.27 / $128.02	Professional		$66.64	$112.27	$128.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $26.95 / $46.60	Professional		$19.57	$26.95	$46.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Professional		$46.60	$46.60	$46.60