Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $245.47	Professional		$57.54	$93.33	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $154.88	Professional		$74.13	$104.71	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $245.47	Facility		$66.07	$102.33	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $954.99	Professional		$38.90	$107.15	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $114.82	Professional		$104.71	$114.82	$114.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $134.90	Professional		$87.10	$117.49	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $147.91	Professional		$36.31	$58.88	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $131.83	Professional		$107.15	$125.89	$131.83