Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $57.60 / $74.23	Professional		$55.82	$57.60	$74.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $97.74	Facility		$66.78	$66.78	$97.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $123.75 / $154.69	Professional		$112.03	$123.75	$154.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $101.54 / $471.51	Facility		$60.71	$101.54	$471.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $57.38 / $104.31	Professional		$35.02	$57.38	$104.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $97.74 / $168.66	Facility		$81.26	$97.74	$168.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $99.09 / $186.75	Professional		$80.03	$99.09	$186.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $85.83 / $102.02	Professional		$73.31	$85.83	$102.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $51.16 / $77.88	Professional		$34.33	$51.16	$77.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $87.07	Professional		$87.07	$87.07	$87.07