Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $65.25 / $65.25	Facility		$65.25	$65.25	$65.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $55.44 / $65.02	Professional		$27.84	$55.44	$65.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $102.81	Facility		$58.60	$58.60	$102.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $108.75 / $135.94	Professional		$108.75	$108.75	$135.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $109.88 / $437.39	Facility		$65.02	$109.88	$437.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $60.63 / $102.51	Professional		$37.90	$60.63	$102.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $102.81 / $161.04	Facility		$85.48	$102.81	$161.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $104.26 / $196.47	Professional		$84.22	$104.26	$196.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $92.89 / $110.42	Professional		$79.34	$92.89	$110.42
United Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $48.84 / $80.54	Professional		$32.78	$48.84	$80.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $91.59	Professional		$91.59	$91.59	$91.59