Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $90.98 / $90.98	Facility		$90.98	$90.98	$90.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $90.98 / $292.50	Professional		$81.51	$90.98	$292.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $167.12 / $167.12	Facility		$167.12	$167.12	$167.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $167.12 / $208.90	Professional		$106.79	$167.12	$208.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $176.72 / $417.90	Facility		$130.10	$176.72	$417.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $160.93 / $160.93	Professional		$160.93	$160.93	$160.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Professional		$148.80	$148.80	$148.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00