Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $89.13	Professional		$61.66	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $131.83	Facility		$75.86	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $169.82	Professional		$134.90	$134.90	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $234.42	Facility		$100.00	$125.89	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $794.33	Professional		$50.12	$75.86	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $128.82	Professional		$107.15	$128.82	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $223.87	Professional		$107.15	$107.15	$223.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $165.96	Professional		$104.71	$125.89	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $125.89	Professional		$46.77	$66.07	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82