Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.42 / $65.42 / $65.42	Facility		$65.42	$65.42	$65.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $65.33 / $65.42	Professional		$64.37	$65.33	$65.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $114.40	Facility		$58.84	$58.84	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $110.22 / $136.41	Professional		$109.13	$110.22	$136.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $108.79 / $476.85	Facility		$71.08	$108.79	$476.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $60.02 / $114.07	Professional		$37.52	$60.02	$114.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $114.40 / $180.70	Facility		$95.13	$114.40	$180.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $116.02 / $218.63	Professional		$93.70	$116.02	$218.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $91.95 / $109.30	Professional		$78.55	$91.95	$109.30
United Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $54.81 / $94.16	Professional		$36.78	$54.81	$94.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $101.92 / $101.92	Professional		$101.92	$101.92	$101.92