Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $147.91	Facility		$72.44	$72.44	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $125.89	Professional		$72.44	$72.44	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $93.33	Professional		$74.13	$75.86	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $147.91	Facility		$74.13	$74.13	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $309.03	Professional		$74.13	$81.28	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $109.65	Professional		$85.11	$91.20	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $87.10	Professional		$74.13	$83.18	$87.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28