Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.75 / $67.75 / $67.75	Facility		$67.75	$67.75	$67.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $65.68 / $69.69	Professional		$55.12	$65.68	$69.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $102.19 / $102.19	Professional		$81.75	$102.19	$102.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $69.69 / $145.21	Facility		$56.52	$69.69	$145.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $130.91 / $472.57	Professional		$86.20	$130.91	$472.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $126.29 / $174.04	Facility		$94.88	$126.29	$174.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $129.97 / $195.48	Professional		$107.24	$129.97	$195.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $106.59 / $142.96	Professional		$85.78	$106.59	$142.96
United Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $137.13 / $156.72	Professional		$86.20	$137.13	$156.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $107.70 / $107.70	Professional		$88.90	$107.70	$107.70