Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $93.92 / $93.92	Facility		$93.92	$93.92	$93.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $69.30 / $93.92	Professional		$63.68	$69.30	$93.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $111.52	Facility		$87.42	$87.42	$111.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $156.75 / $195.94	Professional		$129.22	$156.75	$195.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $117.12 / $540.12	Facility		$69.30	$117.12	$540.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $64.62 / $120.32	Professional		$40.39	$64.62	$120.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $111.52 / $194.54	Facility		$92.72	$111.52	$194.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $113.08 / $213.09	Professional		$91.32	$113.08	$213.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $99.00 / $117.68	Professional		$84.56	$99.00	$117.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $59.00 / $84.29	Professional		$39.60	$59.00	$84.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $99.35 / $99.35	Professional		$99.35	$99.35	$99.35