Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Facility		$65.05	$65.05	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $60.53 / $65.05	Professional		$55.62	$60.53	$65.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $97.41	Facility		$60.55	$60.55	$97.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $108.38 / $135.47	Professional		$108.38	$108.38	$135.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $102.30 / $470.06	Facility		$60.53	$102.30	$470.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $56.44 / $105.09	Professional		$35.28	$56.44	$105.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $97.41 / $169.93	Facility		$80.98	$97.41	$169.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $98.77 / $186.13	Professional		$79.78	$98.77	$186.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $86.47 / $102.79	Professional		$73.86	$86.47	$102.79
United Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $51.54 / $78.47	Professional		$34.59	$51.54	$78.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $86.78 / $86.78	Professional		$86.78	$86.78	$86.78