Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $55.85 / $55.85	Facility		$55.85	$55.85	$55.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $55.85 / $55.85	Professional		$49.18	$55.85	$55.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $106.91 / $131.72	Professional		$105.38	$106.91	$131.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $84.35 / $145.91	Facility		$70.33	$84.35	$145.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $108.74 / $812.00	Professional		$65.23	$108.74	$812.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $122.73 / $139.57	Facility		$83.04	$122.73	$139.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $108.80 / $134.96	Professional		$84.00	$108.80	$134.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $91.35 / $104.15	Professional		$64.01	$91.35	$104.15
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $108.74 / $114.43	Professional		$64.48	$108.74	$114.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $94.90 / $98.70	Professional		$80.59	$94.90	$98.70