Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.01 / $120.01 / $120.01	Facility		$120.01	$120.01	$120.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $119.38 / $120.01	Professional		$107.95	$119.38	$120.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $189.02	Facility		$116.46	$116.46	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.25 / $200.25 / $250.31	Professional		$200.25	$200.25	$250.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.38 / $201.75 / $804.26	Facility		$119.38	$201.75	$804.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $111.31 / $188.48	Professional		$69.56	$111.31	$188.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $189.02 / $296.08	Facility		$157.16	$189.02	$296.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $191.69 / $361.23	Professional		$154.81	$191.69	$361.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $170.54 / $202.71	Professional		$145.66	$170.54	$202.71
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $116.17 / $227.99	Professional		$60.27	$116.17	$227.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $168.40 / $168.40	Professional		$168.40	$168.40	$168.40