Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $89.13	Facility		$58.88	$67.61	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $158.49	Professional		$63.10	$87.10	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $223.87	Professional		$93.33	$162.18	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $134.90	Facility		$72.44	$91.20	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $562.34	Professional		$87.10	$117.49	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $229.09	Professional		$104.71	$162.18	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $186.21	Professional		$97.72	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $134.90	Professional		$91.20	$117.49	$134.90