Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $74.23 / $79.36	Professional		$71.54	$74.23	$79.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $167.20 / $167.20	Facility		$167.20	$167.20	$167.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $145.86 / $182.33	Professional		$118.38	$145.86	$182.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $120.90 / $186.91	Facility		$71.54	$120.90	$186.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $141.83 / $484.81	Professional		$82.50	$141.83	$484.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $162.10 / $196.08	Facility		$107.84	$162.10	$196.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $147.90 / $193.53	Professional		$86.00	$147.90	$193.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $117.45 / $133.91	Professional		$85.66	$117.45	$133.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $132.90 / $154.26	Professional		$75.00	$132.90	$154.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $159.69 / $159.69	Professional		$130.50	$159.69	$159.69