Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Facility		$64.78	$64.78	$64.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $64.78 / $64.78	Professional		$46.18	$64.78	$64.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $137.09 / $137.09	Facility		$137.09	$137.09	$137.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $125.34 / $156.66	Professional		$79.30	$125.34	$156.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $78.04 / $327.37	Facility		$60.59	$78.04	$327.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $62.03 / $121.55	Professional		$41.33	$62.03	$121.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $136.93 / $142.15	Facility		$82.70	$136.93	$142.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $142.15 / $179.88	Professional		$82.77	$142.15	$179.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $166.05 / $189.34	Professional		$68.92	$166.05	$189.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $41.35 / $82.70	Professional		$28.95	$41.35	$82.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $68.92	Professional		$68.92	$68.92	$68.92