Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $61.27 / $61.27	Facility		$61.27	$61.27	$61.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $70.62 / $93.85	Professional		$61.27	$70.62	$93.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $111.82 / $111.82	Facility		$111.82	$111.82	$111.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $119.69 / $148.13	Professional		$118.50	$119.69	$148.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $119.35 / $476.75	Facility		$72.45	$119.35	$476.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $68.70 / $116.19	Professional		$41.15	$68.70	$116.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.97 / $111.82 / $175.55	Facility		$92.97	$111.82	$175.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $113.40 / $213.68	Professional		$91.58	$113.40	$213.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $100.88 / $119.91	Professional		$86.16	$100.88	$119.91
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $53.24 / $85.89	Professional		$35.72	$53.24	$85.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $99.62 / $99.62	Professional		$99.62	$99.62	$99.62