Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $79.70 / $79.70	Facility		$79.70	$79.70	$79.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $64.41 / $79.70	Professional		$62.37	$64.41	$79.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $109.22	Facility		$81.37	$81.37	$109.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $133.13 / $166.41	Professional		$120.11	$133.13	$166.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $108.85 / $494.49	Facility		$67.84	$108.85	$494.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $60.06 / $111.83	Professional		$37.54	$60.06	$111.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $109.22 / $180.84	Facility		$90.81	$109.22	$180.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $110.74 / $208.69	Professional		$89.44	$110.74	$208.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $92.02 / $109.38	Professional		$78.59	$92.02	$109.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $54.85 / $111.83	Professional		$36.81	$54.85	$111.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $97.30 / $97.30	Professional		$97.30	$97.30	$97.30