Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $49.72	Facility		$49.72	$49.72	$49.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $48.14 / $49.72	Professional		$39.90	$48.14	$49.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $105.92 / $118.64	Professional		$94.91	$105.92	$118.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $50.42 / $104.98	Facility		$41.95	$50.42	$104.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $94.16 / $1,028.34	Professional		$50.53	$94.16	$1,028.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $104.43 / $115.35	Facility		$77.15	$104.43	$115.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $104.43 / $139.79	Professional		$67.54	$104.43	$139.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $70.73 / $102.86	Professional		$62.87	$70.73	$102.86
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $94.16 / $109.30	Professional		$61.09	$94.16	$109.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $77.50 / $77.50	Professional		$64.00	$77.50	$77.50