Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $58.95 / $63.53	Facility		$58.95	$58.95	$63.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $58.95 / $67.83	Professional		$51.25	$58.95	$67.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $80.16 / $94.90	Professional		$64.13	$80.16	$94.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $95.06 / $140.43	Facility		$55.33	$95.06	$140.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $115.34 / $403.56	Professional		$70.48	$115.34	$403.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $109.30 / $147.08	Facility		$78.73	$109.30	$147.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $97.27 / $116.67	Professional		$84.92	$97.27	$116.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $103.38 / $121.62	Professional		$69.16	$103.38	$121.62
United Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $96.82 / $126.18	Professional		$56.75	$96.82	$126.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $106.20 / $114.10	Professional		$87.60	$106.20	$114.10