Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $60.55 / $545.29	Facility		$52.38	$60.55	$545.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $60.55 / $60.55	Professional		$43.15	$60.55	$60.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.60 / $128.60 / $128.60	Facility		$128.60	$128.60	$128.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.85 / $146.06	Professional		$73.93	$116.85	$146.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $103.27 / $334.00	Facility		$60.79	$103.27	$334.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $57.97 / $132.54	Professional		$38.65	$57.97	$132.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $131.22 / $201.93	Facility		$83.11	$131.22	$201.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $142.00 / $184.55	Professional		$83.11	$142.00	$184.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $150.40 / $176.95	Professional		$105.18	$150.40	$176.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $57.97 / $85.02	Professional		$27.05	$57.97	$85.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Professional		$64.41	$64.41	$64.41