Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $165.00 / $165.00	Facility		$35.00	$165.00	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $165.00	Professional		$35.00	$50.00	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $97.55 / $118.00	Professional		$82.28	$97.55	$118.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $159.12 / $637.59	Professional		$108.00	$159.12	$637.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.82 / $163.82 / $163.82	Professional		$163.82	$163.82	$163.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $186.69 / $186.69	Professional		$186.69	$186.69	$186.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $148.00 / $148.00	Professional		$128.00	$148.00	$148.00