Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $52.23 / $53.37	Facility		$52.23	$52.23	$53.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $49.18 / $75.31	Professional		$47.89	$49.18	$75.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $99.80 / $124.75	Professional		$81.00	$99.80	$124.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $66.64 / $113.23	Facility		$45.30	$66.64	$113.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $104.52 / $316.98	Professional		$50.23	$104.52	$316.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $113.98 / $125.34	Facility		$93.54	$113.98	$125.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $105.38 / $128.51	Professional		$97.40	$105.38	$128.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $79.73 / $95.74	Professional		$57.37	$79.73	$95.74
United Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $91.15 / $130.74	Professional		$55.25	$91.15	$130.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $118.40 / $120.80	Professional		$96.80	$118.40	$120.80